Case discussion• A 31-year-old woman was brought to the

ED after being struck by a van. She was initially responsive but subsequently lost consciousness.

• Her GCS was 5/15. Her BP is 240/130 and HR is 58. Her pupils are unequal with a dilated and non-reactive left pupil.

Questions

• She was initially responsive at the scene but subsequently lost consciousness… explain this phenomenon

• Her BP is 240/130 and HR is 58… discuss the pathophysiology of the vital signs

• Her pupils are unequal with a dilated and non-reactive left pupil… discuss the pathological mechanism

Interpret the CT brain

List the 4 indications of burr holes

1.2.3.4.

Site of burr hole