Expanding intracranial hematoma is rapidly fatal and requires early therapeutic intervention. Morbidity/mortality significantly increases if treatment delayed more than 1.9 hours. Other studies have indicated poor prognosis if treatment delayed beyond 70 minutes.
This procedure is rarely performed by emergency physicians, and every effort should be made to discuss the patient and plan for procedure with a neurosurgeon prior to intervention.
Burr hole
Ranula
Nasal septal hematoma
Pinguecula
Frontal sinus fracture
Ear foreign body
Nasal fracture
Conjunctival laceration