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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© 2011 Published by Elsevier Inc.
