Posts in Neurosurgery
A Real Pain in the Neck
A Real Pain in the Neck

A 17-year-old boy arrives to the trauma bay. He was the unhelmeted driver of a moped that collided with a truck going approximately 40 mph. He was thrown from the moped and lost consciousness. When EMS arrived on scene his GCS was 8, but it had improved during transport. In the trauma bay he has a GCS of 15 and his primary survey is intact. Vital signs are normal. Secondary survey reveals scattered abrasions and lacerations, as well as left anterior neck tenderness. His only complaint is pain in the left anterior neck…

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Neurology, Vascular, NeurosurgeryDanielle KerriganCarotid Dissection, Pediatrics, TraumaComment
Fall on Thinners: Management of Traumatic ICH in the ED
Fall on Thinners: Management of Traumatic ICH in the ED

An 86-year-old female with past medical history of atrial fibrillation and coronary artery disease on apixaban and clopidogrel presents as a trauma activation after a mechanical fall from standing at her nursing facility. She does not remember the fall, but her nurse reports she tripped over her walker, fell and struck her head. She did not lose consciousness…

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Critical Care, Trauma, NeurosurgeryHannah ChasonTrauma, Intracranial Hemorrhage, ICHComment