MEMC VI Abstracts| Volume 41, ISSUE 2, P205-206, August 2011

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Cranial Trephination: Simulation Model for Rare but Life-Saving Procedure

      Most hospitals do not have 24/7 neurosurgical capabilities. In patients with an expanding intracranial hemorrhage, the outcome is universally poor if transfer to a tertiary care institution is required for hematoma evacuation. A study demonstrated that cranial trephination performed by Emergency Medicine (EM) physicians can result in uniformly good outcomes without significant complications. A simulation model was developed for emergent cranial trephination for EM resident education and training in this potentially life-saving procedure.
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