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Case 2 

Case 2
Chapter:
Case 2
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0002
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date: 17 August 2019

You are the neurosurgeon on call and receive a referral concerning a 20-year-old man who is admitted to the local emergency department following a road traffic accident. He was the front-seat passenger in a car travelling at approximately 70km/hour when it skidded and hit a stationary car head on. He was not wearing a seatbelt and his head hit the windscreen. According to the ambulance crew his GCS was 3 at the scene and his pupils were equal and reacting. On arrival in the local emergency department he is intubated and ventilated and his cervical spine is immobilized with a collar and blocks. His GCS is 3 and his pupils are both 5mm in diameter. The right pupil constricts to light but the left does not.

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