More hilarious brilliance from ‘That Mitchell and Webb Look‘ – following on from their ‘homepathic A&E‘ masterpiece. This skit reminds me of a half-remembered anecdote from Frank Vertosick Jr.’s classic book about neurosurgical training, ‘When The Air Hits The Brain‘. After yet another brutal shift the Orthopedics Chief says to Frank (a neurosurgical resident at […]
William Henry Battle (1855–1936) English surgeon. Battle sign, postauricular (mastoid) ecchymosis fracture of the base of the skull (BOS).
Harvey Williams Cushing (1869 – 1939) was an American neurosurgeon.
Guest post by Dr Peter Hutchinson, Professor of Neurosurgery; Dr Angelos Kolias, Clinical Lecturer in Neurosurgery; and Dr David Menon, Professor of Anaesthesia – all at the University of Cambridge and Addenbrooke’s Hospital, Cambridge, UK. It is a response to the recent LITFL post by Dr Alistair Nichol RESCUEicp and the Eye of the Beholder. * beholder […]
A 9 year old boy fell while trampolining and struck his head on the trampoline frame. There was definite loss of consciousness but just for how long is unclear as the only witnesses were friends his age. The clinical image shows findings on the left side of his head.
Alistair Nichol explains why the “favourability” of outcomes from brain trauma in the RESCUEicp trial are in the eye of the beholder.
According to an editorial in the NEJM, decompressive craniectomy “has a proven benefit in the management of malignant cerebral edema after ischemic stroke”… We point out the caveats to this assertion.
GENERAL APPROACH Phase of injury— Acute: ileus, cardiovascular, ventilation— Sub-acute: recurrent atelectasis and segmental collapse— Chronic: pain, psychological issues, infection (uro, resp, pressure areas), autonomic dysreflexia, spasm. Stability of spine Tracheostomy Other injuries INTRODUCTION CUBICLE Edgerton spinal bed until spine stabilized long/short stay pressure area prevention bed (Nimbus mattress) after spine stabilised equipment for moving […]