A case of the infant head injury that the seamless emergency system led to lifesaving

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Other Title
  • シームレスな救急体制が救命につながった小児頭部外傷の一例
  • 症例報告 シームレスな救急体制が救命につながった小児頭部外傷の一例
  • ショウレイ ホウコク シームレス ナ キュウキュウ タイセイ ガ キュウメイ ニ ツナガッタ ショウニ トウブ ガイショウ ノ イチレイ

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<p>We report a case of the infant head injury that the seamless emergency system led to lifesaving. The case is a 1.5-year-old boy. He fell to the asphalt parking lot from the window of his apartment on the second floor. Doctor ambulance car was called by the request from the emer­gency services because of his poor conscious level, a right conjugate deviation, and anisocoria. Intratracheal intuba­tion was enforced in the ambulance car by doctor. After confirming stability of the ABC, a head CT scan revealed acute subdural hematoma and brain contusion in his left frontal lobe. An emergency surgery was started at 49 minutes after hospital arrival. We eliminate contusional brain and hematoma and sacrificed damaged bridging vein. Because brain swelling was strong, I finished an operation with taking off the skull. Repeat CT showed acute epidural hematoma in his posterior cranial fossa. We came back to the operating room and evacuated hematoma. He was induced mild hypothermia therapy for 72 hours. His conscious was completely recovered after one week. He had right hemiparesis (MMT 2/5) immediately after rewarming but his hemiparesis im­proved to MMT 4/5. He discharged on his foot on the 33rd day of accident. He had slight right hand skilled act disturbance but good afterwards in progress.</p>

Journal

  • Neurotraumatology

    Neurotraumatology 39 (1), 53-57, 2016-08-10

    The Japan Society of Neurotraumatology

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