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.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Emergency Medicine
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
© 2011 Published by Elsevier Inc.