Category Neurosurgery
ICE -Ian’s clinical emergencies 340

ICE 002: Trampoline injury

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.
CCC Critical Care compendium 340

Spinal Injury Patient Hot Case

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…

CCC Critical Care compendium 340

Spinal epidural abscess

Spinal epidural abscess is considered a neurosurgical emergency; morbidity and mortality is worse with delayed diagnosis, and the worse the neurological deficit at the time of surgery the worse the outcome
CCC Critical Care compendium 340

Decompressive Craniectomy

Decompressive Craniectomy: can be prophylactic or therapeutic; increases intracranial compliance and prevents/treats elevated ICP (especially if dura opened)