• William Weber, Teri Campbell, Thomas Papandria, and Arjang Ahmadpour.
• Department of Emergency Medicine, Beth Israel Deaconess Medical Center/Harvard University School of Medicine, Boston, MA. Electronic address: wweber@bidmc.harvard.edu.
• Ann Emerg Med. 2023 Oct 1; 82 (4): 505508505-508.

AbstractAcute epidural hematomas can lead to rapid neurologic decompensation and death. Epidural hematomas may require emergency surgical clot removal, but many patients live far away from a trauma center. This case report describes a pediatric patient with an acute epidural hematoma with significant neurologic compromise who initially presented to a nontrauma center. The emergency department (ED) had no neurosurgeon or equipment to perform burr hole craniostomy. The emergency physician at the nontrauma ED inserted an intraosseous catheter intracranially to temporarily decompress the hematoma due to long transport times. The patient survived with complete neurologic recovery. This is the youngest known patient in whom an intraosseous catheter was used to drain an intracranial hematoma.Copyright © 2023 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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