Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series

Introduction: Traumatic subdural hematomas beget significant morbidity and mortality if not rapidly decompressed. This presents a unique challenge to the emergency physician without immediate neurosurgical support. Case Report: We report two cases of patients in Los Angeles County with traumatic sub...

Full description

Bibliographic Details
Main Authors: Brett Barro, Scott Kobner, Ashkon Ansari
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-08-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/51d544js
_version_ 1818235316894433280
author Brett Barro
Scott Kobner
Ashkon Ansari
author_facet Brett Barro
Scott Kobner
Ashkon Ansari
author_sort Brett Barro
collection DOAJ
description Introduction: Traumatic subdural hematomas beget significant morbidity and mortality if not rapidly decompressed. This presents a unique challenge to the emergency physician without immediate neurosurgical support. Case Report: We report two cases of patients in Los Angeles County with traumatic subdural hematomas and clinical deterioration in the emergency department (ED) who were treated with decompression using an intraosseous needle drill. Discussion: We believe these cases represent the first use of this technique to temporize a subdural hematoma in the ED.
first_indexed 2024-12-12T11:52:02Z
format Article
id doaj.art-3af6681958444552bd6cc6df01940406
institution Directory Open Access Journal
issn 2474-252X
language English
last_indexed 2024-12-12T11:52:02Z
publishDate 2020-08-01
publisher eScholarship Publishing, University of California
record_format Article
series Clinical Practice and Cases in Emergency Medicine
spelling doaj.art-3af6681958444552bd6cc6df019404062022-12-22T00:25:18ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-08-014310.5811/cpcem.2020.6.46069cpcem-04-312Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case SeriesBrett Barro0Scott Kobner1Ashkon Ansari2LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, CaliforniaLAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, CaliforniaKeck School of Medicine of USC, Department of Emergency Medicine, Los Angeles, CaliforniaIntroduction: Traumatic subdural hematomas beget significant morbidity and mortality if not rapidly decompressed. This presents a unique challenge to the emergency physician without immediate neurosurgical support. Case Report: We report two cases of patients in Los Angeles County with traumatic subdural hematomas and clinical deterioration in the emergency department (ED) who were treated with decompression using an intraosseous needle drill. Discussion: We believe these cases represent the first use of this technique to temporize a subdural hematoma in the ED.https://escholarship.org/uc/item/51d544js
spellingShingle Brett Barro
Scott Kobner
Ashkon Ansari
Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series
Clinical Practice and Cases in Emergency Medicine
title Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series
title_full Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series
title_fullStr Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series
title_full_unstemmed Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series
title_short Decompression of Subdural Hematomas Using an Intraosseous Needle in the Emergency Department: A Case Series
title_sort decompression of subdural hematomas using an intraosseous needle in the emergency department a case series
url https://escholarship.org/uc/item/51d544js
work_keys_str_mv AT brettbarro decompressionofsubduralhematomasusinganintraosseousneedleintheemergencydepartmentacaseseries
AT scottkobner decompressionofsubduralhematomasusinganintraosseousneedleintheemergencydepartmentacaseseries
AT ashkonansari decompressionofsubduralhematomasusinganintraosseousneedleintheemergencydepartmentacaseseries