Manchester Arena Attack: management of paediatric penetrating brain injuries.

British Journal of Neurosurgery
Catherine PringleIan Kamaly-Asl

Abstract

The Manchester Arena bombing on 22 May 2017 resulted in 22 deaths and over 160 casualties requiring medical attention. Given the threat of modern- era terrorist attacks in civilian environments, it is important that we are able to anticipate and appropriately manage neurological injuries associated with these events. This article describes our experience of managing paediatric neurosurgical blast injuries, from initial triage and operative management to longer-term considerations. Case study and literature review. Paediatric traumatic and penetrating brain injury patients often make a good neurological recovery despite low GCS at time of injury; this should be accounted for during triage and operative decision making in major trauma, mass casualty events. Conservative management of retained shrapnel is advocated in view of low long-term infection rates with retained shrapnel and worsened neurological outcome with shrapnel retrieval. All penetrating brain injuries should receive a prolonged course of broad-spectrum antibiotics and undergo long term follow-up imaging to monitor for the development of cerebral abscesses. MRI should never be utilised in penetrating brain injury cases, even in the absence of macroscopically visible ...Continue Reading

References

May 1, 1979·Journal of Neurosurgery·W F CavenessG H Weiss
Aug 23, 1990·The New England Journal of Medicine·N R TemkinH R Winn
Jun 1, 1970·Journal of Neurosurgery·A J Raimondi, G H Samuelson
May 1, 1983·Neurochirurgia·F L GlötznerK W Pflughaupt
Nov 1, 1980·The Journal of Pediatrics·J D BrinkJ Woo-Sam
Jan 1, 1998·The New England Journal of Medicine·J F AnnegersW A Rocca
Apr 4, 1998·Neurosurgery·B AarabiA Kamgarpour
Aug 16, 2001·The Journal of Trauma
Aug 16, 2001·The Journal of Trauma
Aug 16, 2001·The Journal of Trauma
Oct 24, 2002·Neuroimaging Clinics of North America·Paul E KimChi-Shing Zee
Aug 6, 2003·Surgical Neurology·Roberto S MartinsO J S Moraes
Jul 1, 1954·Journal of Neurosurgery·J H DREW, C A FAGER
Feb 1, 1971·Journal of Neurosurgery·R E Hagan
Apr 22, 2004·AJR. American Journal of Roentgenology·Emanuel KanalUNKNOWN American College of Radiology
Aug 24, 2004·The American Journal of Forensic Medicine and Pathology·Ayhan Koçak, Mehmet Haluk OZer
Oct 3, 2008·Critical Care : the Official Journal of the Critical Care Forum·Barbara Haas, Avery B Nathens
May 12, 2009·The Journal of Trauma·Howard R ChampionLee Ann Young
Jul 28, 2009·Lancet·Stephen J WolfStephen V Cantrill
Feb 22, 2011·Journal of Neurotrauma·Atsuhiro NakagawaTeiji Tominaga
Sep 3, 2011·Journal of Emergencies, Trauma, and Shock·Syed Faraz KazimShahan Waheed
Nov 8, 2011·Emergency Medicine Journal : EMJ·M J DaviesF E Lecky
Jan 10, 2012·Journal of Neurotrauma·Sue R BeersP David Adelson
Jul 10, 2012·Injury·Susan L EskridgeRichard A Shaffer
Sep 24, 2013·Journal of the American College of Surgeons·Bellal JosephPeter Rhee
Jan 14, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ajay K SinghMichael H Lev
Jul 9, 2016·Military Medicine·Idris DialloDouraied Ben Salem
Aug 3, 2016·Anaesthesia Critical Care & Pain Medicine·E FalzoneS Mérat

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Abscess

Brain abscess is an accumulation of pus caused by inflammation and infected materials in the brain. Symptoms include fever, headache, seizures and other neurological problems. Discover the latest research on brain abscess today.

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

Related Papers

Journal of the Royal Naval Medical Service
A H Osborne
Military Medicine
W H Kearney
Military Surgeon
J H SCHAEFER
© 2021 Meta ULC. All rights reserved