Resuscitative Pre-Hospital Burr Hole For Extradural Haemorrhage
In this month's episode, we were joined by Professor Mark Fitzgerald, Director of the Alfred Trauma Service, & Dr Jordan Jones, Neurosurgical Registrar to discuss a recent case involving a patient with a large extra-dural haemorrhage who had a burr hole performed during ambulance transfer to the Alfred, after acute deterioration at a regional hospital in Victoria.
It was a fantastic save with a great outcome.
Check out the initial CT and case details above, and then go on to listen to the podcast below.
(We had full written consent from the patient to post the details of this case online).
Smith Sw, Clark M, Nelson J, Heegaard W, Lufkin KC, Ruiz E. Emergency Department Skull Trephination for Epidural Hematoma in Patients Who Are Awake But Deteriorate Rapidly. J Emerg Med. 2010 Sep;39(3):377-83 (PubMed)