CME 26/02/15 – Significance of pupillary dilatation in head trauma

Here is Tom’s talk on the significance and prognostic implications of fixed dilated pupils in patients with intracranial haemorrhage. This talk was predominantly based around a recent paper : Scotter et al, Prognosis of patients with fixed dilated pupils secondary to traumatic extradural or subdural haematoma who undergo surgery: a systematic review and meta-analysis, Emerg Med J, 2014. However, this was used as a nidus for a discussion on considerations in deciding on aggressive versus conservative management of this patient group.


  • Types of Brain Herniation:
Brain Herniation 2
Dr James Wheeler
Dr James Wheeler

Emergency Physician, SCGH, WA, Australia

Articles: 500

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