Case 147 – the beginning

It is 4am and you are peacefully dreaming about the educational opportunities at #BBTS2021 when you are awoken by the neurosurgical SpR on-call. They would like advice around product support for a patient they wish to take to theatre for an emergency decompressive craniectomy.

The patient is a 34 year old lady who presented to A&E with a severe headache and has subsequently dropped her GCS to 9/15. CT head has demonstrated a large intracranial bleed with mass effect and midline shift. FBC on admission:

  • Hb 151
  • WCC 5.8
  • Plt 25

They are planning transfer to theatre imminently, and the procedure cannot be safely delayed.

Is there any other information you require pre-operatively?

What advice would you give to support the platelet count?

Are there any other investigations which may be helpful?

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Uncategorised. Bookmark the permalink.