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Case Reports
. 2018 Feb;19(1):76-79.
doi: 10.1177/1751143717734997. Epub 2017 Oct 2.

Temporising an extradural haematoma by intraosseous needle craniostomy in the District General Hospital by non-neurosurgical doctors - A case report

Sahra Durnford  1 , Harry Bulstrode  2 , Andrew Durnford  2 , Aabir Chakraborty  2 , Nicholas T Tarmey  1
Affiliations
Case Reports

Temporising an extradural haematoma by intraosseous needle craniostomy in the District General Hospital by non-neurosurgical doctors - A case report

Sahra Durnford et al. J Intensive Care Soc. 2018 Feb.

Abstract

We report the case of a 69-year-old man admitted to the emergency department of a UK district general hospital with an extradural haematoma following closed head injury. He deteriorated rapidly before transfer to the regional neurosurgical centre and was treated with decompression of the extradural haematoma through an EZ-IO™ intraosseous needle in our department, with telephone guidance from the neurosurgeon. We believe this to be the first reported use of this technique in a district general hospital.

Keywords: Closed head injury; cranial extradural haematoma; intensive care; neurosurgery; trauma centre.

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Figures

Figure 1.
Figure 1.
CT head showing large right extradural haematoma.
Figure 2.
Figure 2.
Aspiration of extradural blood using an IO needle.
See this image and copyright information in PMC

References

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    1. Bulstrode H, Kabwama S, Durnford A, et al. Temporising extradural haematoma by craniostomy using an intraosseous needle. Injury 2017; 48: 1098–1100. - PubMed
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