Welcome to this month’s What’s Your Diagnosis Challenge!
But before we begin, check to see if you got the previous case on Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment correct.
Case Presentation: Management of Traumatic Intracranial Hemorrhage in the Emergency Department
A 24-year-old man with no past medical history presents by EMS following an unhelmeted all-terrain vehicle rollover accident…
- He has a temperature of 37.5°C, heart rate of 76 beats/min, blood pressure of 100/60 mm Hg, and respiratory rate of 17 breaths/min. His GCS score is 12 (E2V4M6).
- Computed tomography (CT) of the head, neck, chest, abdomen, and pelvis shows that he has bifrontal contusions, a skull fracture crossing midline, and a pelvic fracture.
- Two hours later, while consulting services are still pending recommendations, he becomes agitated and his GCS score has declined to 10 (E2V3M5). What treatments should you initiate and what additional imaging should you obtain?
Make your best guess, and check back next month to find out the correct answer!
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