Posted Dec. 28, 2019, 8:10 p.m. by Lieutenant Drake Marshall (Emergency Medicine/Chief of Surgery) (Sage Pennington)
Posted by Captain Willow Taylor (Commanding Officer) in Side sim: Between Two Pulsars
Posted by Lieutenant Drake Marshall (Emergency Medicine/Chief of Surgery) in Side sim: Between Two Pulsars
<snip>Drake paused. “Fine. Stay out of the way.” He was handed the file of a subdural hematoma resulting from a skull fracture. He tossed Cai the PaDD. “Read up. You’re going to learn some neuroanatomy.” He led Cai to the locker room to scrub up.
-Dr Drake Marshall
Cai caught the PaDD, his eyes skimming before he had so much as broken pace. He frowned “ A subdural haematoma occurs when a blood vessel in the space between the skull and the brain is damaged. Blood escapes from the blood vessel, leading to the formation of a blood clot that places pressure on the brain and damages it.” He said as they entered the locker room. “ In the 20th century, the treatment often was to drill a hole through the skull and allow the blood to drain and relieve pressure on the brain. By the 23rd century, doctors knew better and often treatment is to repair the artery. Not drill holes in the persons head. Didn’t Admiral McCoy write a paper on it.”
Cai
“Very good. McCoy did. Now look at the scan.” On the scan showed the clot and continued bleeding. There was a steady buildup of pressure on the brain. Drake was almost done applying his scrubs. “Internist tried to close the artery. Intracranial pressure and low visibility made it impossible.”
-Dr Drake Marshall
The teens eyes took in the scan images. “So what?” He asked. “You’re gunna drill into his skull?” He looked up at Drake.
Cai
“Drill? No. Cut? Yes. The blood needs to be evacuated, the haemorrhage stopped, and clot removed.” Drake snapped his gloves into place. “Shall we?” He waved to the OR door.
-Dr Drake Marshall
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