PMID: 9637153Jun 24, 1998Paper

Emergency craniotomy in a rural Level III trauma center

The Journal of Trauma
C F RinkerD M Gannon

Abstract

Patients with closed head injury and expanding epidural (EDH) or subdural (SDH) hematoma require urgent craniotomy for decompression and control of hemorrhage. In remote areas where neurosurgeons are not available, trauma surgeons may occasionally need to intervene to avert progressive neurologic injury and death. In 1990, a young man with rapidly deteriorating neurologic signs underwent emergency burr hole decompression of a combined EDH/SDH at our hospital, with complete recovery. In anticipation of future need, five surgeons at our rural, American College of Surgeons-verified Level III trauma center participated in a neurosurgeon-directed course in emergency craniotomy. Since January 1, 1991, 792 patients have been entered into the trauma registry, including 60 with closed head injury and Glasgow Coma Scale (GCS) score of 13 or less. All but seven were transferred to a regional Level II trauma center, which is a minimum flight time of 1 hour each way. All patients with EDH (5) and 2 of 14 with SDH were deemed too unstable for transport and underwent burr hole decompression followed by immediate transfer. All craniotomies were approved by the consulting neurosurgeon and were done for computed tomography-confirmed lesions comb...Continue Reading

References

Oct 1, 1977·Journal of Neurosurgery·D P BeckerR Sakalas
Jul 1, 1992·Journal of Neurosurgery·M B GutmanP J Muller
Feb 11, 1991·Journal of Neurosurgery·J E WilbergerD L Diamond
Nov 1, 1988·The American Journal of Emergency Medicine·M F Springer, F J Baker
Sep 1, 1965·The Journal of Trauma·C Burton, H M Blacker
May 1, 1981·Neurosurgery·B D MahoneyJ E Clinton

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Citations

Jan 21, 2014·Cell Biochemistry and Biophysics·Yun-Zhao JiangWei-Jiang Wu
Sep 17, 2009·Der Unfallchirurg·S Flohé, D Nast-Kolb
Apr 4, 2012·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mark H WilsonDavid Lockey
Sep 29, 2004·American Journal of Public Health·Corinne Peek-AsaLorann Stallones
Jan 2, 2016·Journal of Neurosurgery·Judith MarcouxRajeet S Saluja
Jun 19, 2009·The Journal of Emergency Medicine·Stephen W SmithErnest Ruiz
Dec 14, 2006·Advances in Surgery·Thomas J EspositoRichard L Gamelli
Nov 23, 2006·Journal of the American College of Surgeons·Alex B ValadkaRichard G Ellenbogen
Jul 28, 2007·Emergency Medicine Australasia : EMA·Jo Deverill, Leanne M Aitken
Feb 18, 2006·ANZ Journal of Surgery·Conard V Bishop, Katharine J Drummond
Mar 18, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mark FaulScott M Sasser
Mar 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James A Nelson
Mar 31, 2006·Journal of the American College of Surgeons·Thomas J EspositoMichael D Pasquale
Apr 12, 2013·ISRN Surgery·Holden O FatigbaJijoho Padonou
May 5, 2016·ANZ Journal of Surgery·John GilliganDanielle Taylor
Jun 19, 2004·Injury·Jeffrey V Rosenfeld
Jun 25, 2003·Journal of Neurotrauma·Snorre SollidTor Ingebrigtsen
Feb 14, 2007·The Journal of Trauma·Thomas S Helling
Jul 26, 2017·World Journal of Surgery·John K KanyiRobert K Parker
Feb 20, 2020·Military Medicine·Jennifer M GurneyDonald W Marion
Jul 12, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Kristen C SihlerCraig Zwerling
Sep 15, 2020·Clinical Practice and Cases in Emergency Medicine·Brett BarroAshkon Ansari
Jan 20, 2021·The Journal of Surgical Research·Matthew D NealeighHolly S Meyer

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