Severe Vertex Epidural Hematoma in a Child: A Case Report of a Management without Expert Neurosurgical Care

Brévart, Christophe; Bertani, Antoine; Aden, Hassan Abdourahman; Menguy, P; Dulou, R.

doi:10.1155/2011/476416

Cited by 3 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They will guide and validate this first procedure before approving the medevac (depending on the injury severity) to a role 4 unit in France by the mobile neurosurgical team. 3,7,10 While waiting for the air medevac on a medically equipped Falcon aircraft, the patient undergoes neuroresuscitation in the theater of warfare. During the flight, the patient is monitored by an intensivist who has at his or her disposal ultrasound imaging with transcranial Doppler, and sometimes an intracranial pressure sensor.…”

Section: Nonneurosurgical Far-forward Damage Controlmentioning

confidence: 99%

Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Dagain

Aoun²,

Sellier

et al. 2018

Neurosurgical Focus

Self Cite

View full text Add to dashboard Cite

This article aims to describe the French concept regarding combat casualty neurosurgical care from the theater of operations to a homeland hospital. French military neurosurgeons are not routinely deployed to all combat zones. As a consequence, general surgeons initially treat neurosurgical wounds. The principle of this medical support is based on damage control. It is aimed at controlling intracranial hypertension spikes when neuromonitoring is lacking in resource-limited settings. Neurosurgical damage control permits a medevac that is as safe as can be expected from a conflict zone to a homeland medical treatment facility. French military neurosurgeons can occasionally be deployed within an airborne team to treat a military casualty or to complete a neurosurgical procedure performed by a general surgeon in theaters of operation. All surgeons regardless of their specialty must know neurosurgical damage control. General surgeons must undergo the required training in order for them to perform this neurosurgical technique.

show abstract

Section: Nonneurosurgical Far-forward Damage Controlmentioning

confidence: 99%

Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Dagain

Aoun²,

Sellier

et al. 2018

Neurosurgical Focus

Self Cite

View full text Add to dashboard Cite

show abstract

Clinical features and treatment strategies for vertex epidural hematoma: a systematic review and meta-analysis from individual participant data

et al. 2021

View full text Add to dashboard Cite

Emergency Cranial Surgeries Without the Support of a Neurosurgeon: Experience of the French Military Surgeons

et al. 2022

View full text Add to dashboard Cite

Introduction Unlike orthopedic or visceral surgeons, French military neurosurgeons are not permanently deployed on the conflict zone. Thus, craniocerebral war casualties are often managed by general surgeons in the mobile field surgical team. The objective of the study was to provide the feedback of French military surgeons who operated on craniocerebral injuries during their deployment in a role 2 surgical hospital without a neurosurgeon. Materials and Methods A cross-sectional survey was conducted by phone in March 2020, involving every military surgeon currently working in the French Military Training Hospitals, with an experience of cranial surgery without the support of a neurosurgeon during deployment. We strived to obtain contextual, clinical, radiological, and surgical data. Results A total of 33 cranial procedures involving 64 surgeons were reported from 1993 to 2018. A preoperative CT scan was not available in 18 patients (55%). Half of the procedures consisted in debridement of craniocerebral wounds (52%, n = 17), followed by decompressive craniectomies (30%, n = 10), craniotomy with hematoma evacuation (15%, n = 5), and finally one (3%) surgery with exploratory burr holes were performed. The 30-day survival rate was 52% (n = 17) and 50% (n = 10/20) among the patients who sustained severe traumatic brain injury. Conclusions This survey demonstrates the feasibility and the plus-value of a neurosurgical damage control procedure performed on the field by a surgeon nonspecialized in cranial surgery. The stereotyped neurosurgical techniques used by the in-theater surgeon were learned during a specific predeployment training course. However, the use of a live telemedicine neurosurgical support seems indispensable and could benefit the general surgeon in strained resources setting.

show abstract

Severe Vertex Epidural Hematoma in a Child: A Case Report of a Management without Expert Neurosurgical Care

Cited by 3 publications

References 8 publications

Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Acute neurosurgical management of traumatic brain injury and spinal cord injury in French armed forces during deployment

Clinical features and treatment strategies for vertex epidural hematoma: a systematic review and meta-analysis from individual participant data

Emergency Cranial Surgeries Without the Support of a Neurosurgeon: Experience of the French Military Surgeons

Contact Info

Product

Resources

About