Lateral Orbital Canthotomy. [Updated 2022 Jul 25]. In: StatPearls [Internet]. Desai NM, Shah Su. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557476/
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Results: During the study period, 236,698 patients were registered in the Japan Trauma Data Bank. Of the 1391 patients who were eligible for analysis, 305 had undergone trepanation in an emergency room. The survival rate was 37.7% in patients who had undergone emergency trepanation and 59.3% in those who had not. Performing emergency trepanation was significantly associated with decreased survival even after adjusting for possible confounders (adjusted odds ratio, 0.55; 95% confidence interval, 0.40-0.76; P < 0.001).
Conclusions: Our results indicate that performing trepanation in an emergency room is associated with a decreased survival rate.
Results: No evidence meeting methodologic criteria was found describing outcomes in patients transferred without decompressive procedures. For patients receiving local drainage before transfer, 100% had favorable outcomes.
Conclusions: Although the total number of patients is small and the population highly selected, the natural history of cerebral herniation from epidural hematoma and the best available evidence suggests that herniating patients have improved outcomes with drainage procedures before transport.
Emergency Decompressive Craniostomy "Burr Hole" Using an Intraosseous Vascular Access System in a Resource-Limited Setting: A Technical Report on a Cadaver. Wu JC, Cao K, Mayfield J, Ganti L. Cureus. 2022 Apr 23;14(4):e24420. doi: 10.7759/cureus.24420. PMID: 35619862; PMCID: PMC9126472.