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Updated: May 23, 2026
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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Emergency burr holes: "How to do it".
Mark H Wilson1, David Wise, Gareth Davies
1London's Air Ambulance, The Helipad, The Royal London Hospital, London E1 1BB, UK.
Summary
This paper presents a straightforward technique for emergency burr hole evacuation of extra-axial intracranial hematoma. This method is applicable when specialist neurosurgical intervention is unavailable.
Area of Science:
- Neurosurgery
- Emergency Medicine
- Trauma Care
Background:
- Extra-axial intracranial hematomas require prompt evacuation to prevent neurological damage.
- Access to specialist neurosurgical care can be limited in certain settings.
- Traditional evacuation methods may require advanced equipment and expertise.
Discussion:
- A simplified burr hole technique for emergency hematoma evacuation is detailed.
- This approach focuses on essential steps for immediate decompression.
- The procedure aims to be feasible with limited resources.
Key Insights:
- A simple burr hole evacuation method for extra-axial intracranial hematoma is described.
- This technique offers a potential life-saving option in resource-limited emergency situations.
- It addresses the critical need for intervention when specialist neurosurgery is inaccessible.
Outlook:
- Further evaluation of this technique in diverse clinical scenarios is warranted.
- Training programs could incorporate this simplified approach for emergency preparedness.
- This method may improve outcomes for patients with intracranial hematomas in remote areas.
