Emergency Decompressive Craniostomy “Burr Hole” Using an Intraosseous Vascular Access System in a Resource-Limited Setting: A Technical Report on a Cadaver

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Manuscript

Publication Date

4-23-2022

Keywords

epidural hematoma, extra-axial hemorrhage, intraosseous drill, craniostomy, burr hole

Disciplines

Cardiovascular Diseases | Emergency Medicine | Nervous System Diseases

Abstract

This paper describes an alternative approach to emergency burr hole evacuation of epidural hematoma using the intraosseous (IO) vascular access system. The IO vascular access system is commonly available in the Emergency Department. We demonstrate that it can be used in rare situations where immediate neurosurgical intervention and the standard cranial drill and brace are not available for burr hole craniostomy.

Publisher or Conference

Cureus

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