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Drainage of an extradural haematoma by intraosseous needle in a remote hospital
We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall. After a CT scan, she was diagnosed with a large acute extradural haematoma (EDH)....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826935/ https://www.ncbi.nlm.nih.gov/pubmed/36632333 http://dx.doi.org/10.1016/j.tcr.2022.100750 |
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author | Sen, Aruni Kharroubi, Nemer Pinder, Anthea Hempenstall, Jonathan |
author_facet | Sen, Aruni Kharroubi, Nemer Pinder, Anthea Hempenstall, Jonathan |
author_sort | Sen, Aruni |
collection | PubMed |
description | We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall. After a CT scan, she was diagnosed with a large acute extradural haematoma (EDH). Prior to air ambulance transfer to the Neurosurgical Centre, she developed a fixed dilated pupil and hemodynamic instability. The Neurosurgeon advised that an intraosseous (IO) needle drainage would prevent brain stem herniation. An Emergency Medicine (EM) consultant drained 60 ml of blood and clot via an IO needle. The pupil and cardiovascular status normalised. The patient underwent neurosurgical drainage with full neurological recovery. We believe that this is the first IO drainage of an EDH at a remote hospital followed by full neurological recovery. |
format | Online Article Text |
id | pubmed-9826935 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-98269352023-01-10 Drainage of an extradural haematoma by intraosseous needle in a remote hospital Sen, Aruni Kharroubi, Nemer Pinder, Anthea Hempenstall, Jonathan Trauma Case Rep Case Report We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall. After a CT scan, she was diagnosed with a large acute extradural haematoma (EDH). Prior to air ambulance transfer to the Neurosurgical Centre, she developed a fixed dilated pupil and hemodynamic instability. The Neurosurgeon advised that an intraosseous (IO) needle drainage would prevent brain stem herniation. An Emergency Medicine (EM) consultant drained 60 ml of blood and clot via an IO needle. The pupil and cardiovascular status normalised. The patient underwent neurosurgical drainage with full neurological recovery. We believe that this is the first IO drainage of an EDH at a remote hospital followed by full neurological recovery. Elsevier 2022-12-31 /pmc/articles/PMC9826935/ /pubmed/36632333 http://dx.doi.org/10.1016/j.tcr.2022.100750 Text en Crown Copyright © 2023 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Sen, Aruni Kharroubi, Nemer Pinder, Anthea Hempenstall, Jonathan Drainage of an extradural haematoma by intraosseous needle in a remote hospital |
title | Drainage of an extradural haematoma by intraosseous needle in a remote hospital |
title_full | Drainage of an extradural haematoma by intraosseous needle in a remote hospital |
title_fullStr | Drainage of an extradural haematoma by intraosseous needle in a remote hospital |
title_full_unstemmed | Drainage of an extradural haematoma by intraosseous needle in a remote hospital |
title_short | Drainage of an extradural haematoma by intraosseous needle in a remote hospital |
title_sort | drainage of an extradural haematoma by intraosseous needle in a remote hospital |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826935/ https://www.ncbi.nlm.nih.gov/pubmed/36632333 http://dx.doi.org/10.1016/j.tcr.2022.100750 |
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