Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The injured coach.

O J Dominguez

    Emergency Medical Services
    |July 19, 2001
    PubMed
    Summary
    This summary is machine-generated.

    Epidural hematoma, a serious brain bleed, can occur after head trauma. Patients may experience a lucid interval before rapid deterioration, highlighting the need for prompt medical evaluation.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    A mouthful of trouble.

    Emergency medical services·2001
    Same author

    Prehospital rounds. Beyond SVT.

    Emergency medical services·2001
    Same author

    Wipeout.

    Emergency medical services·2001
    Same author

    What's so unusual?

    Emergency medical services·2001
    Same author

    Prehospital rounds. Irregular narrow complex tachycardia.

    Emergency medical services·2001
    Same author

    Hyperkalemia.

    Emergency medical services·2001
    Same journal

    Leadership Tips. Cards: thanking people's families.

    Emergency medical services·2007
    Same journal

    Scene safety for bike medics.

    Emergency medical services·2007
    Same journal

    A guide to hazmat response.

    Emergency medical services·2007
    Same journal

    Coping with violent people: a multi-part series.

    Emergency medical services·2007
    Same journal

    Pediatric care and EMS. An interview with Tommy Loyacono. Interview by Raphael M Barishansky.

    Emergency medical services·2007
    Same journal

    Transporting children.

    Emergency medical services·2007
    See all related articles

    Area of Science:

    • Neurosurgery
    • Emergency Medicine
    • Trauma Care

    Background:

    • Epidural hematoma arises from bleeding between the dura mater and skull, often due to head trauma.
    • Traumatic insults, particularly to the temporal bone, can lacerate the middle meningeal artery, initiating arterial hemorrhage.

    Observation:

    • Patients may exhibit a "lucid interval"—a period of consciousness after initial head trauma, often coinciding with emergency medical services (EMS) arrival.
    • During the lucid interval, patients might appear normal or report headaches, potentially refusing medical transport despite an expanding intracranial hematoma.

    Findings:

    • Arterial bleeding leads to a rapidly expanding hematoma, causing severe headaches, nausea, vomiting, loss of consciousness, or seizures.
    • Neurological decline may manifest as contralateral weakness, decreased Glasgow Coma Scale score, and in severe cases, cerebral herniation with a "blown pupil" (third cranial nerve compression).

    Related Experiment Videos

    Implications:

    • EMS providers must maintain high suspicion for head and skull base injuries, considering the mechanism of injury and potential complications.
    • Patient refusal of treatment, even when alert, necessitates careful documentation and potential medical control consultation due to risks of delayed complications like neurological deficits.