Emergency medicine journal : EMJ
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Case Reports
Posterior cranial fossa venous extradural haematoma: an uncommon form of intracranial injury.
Extradural haematomas are commonly associated with direct trauma to the temporal bones of the cranium resulting in damage to the middle meningeal artery or its branches. A case is presented of an occipital skull fracture with venous sinus bleeding that resulted in a posterior cranial fossa extradural haematoma. Bleeding in this area, if unrecognised, may lead rapidly to respiratory arrest secondary to brainstem compression. The presence of significant trauma to the occiput should alert the attending clinician to the possibility of this uncommon but potentially fatal condition.
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Bilateral hip dislocation occurring as a result of trauma is a rare condition. Simultaneous anterior and posterior traumatic dislocation of both hips is even more unusual. A case is reported of asymmetrical bilateral traumatic hip dislocation without an associated fracture of the pelvis or femur occurring in a young adult with no previous history of hip abnormality or ligamentous laxity. An unusual mechanism for this injury is also described.
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To explore what lies behind repeated emergency department (ED) use, from the patients' own perspectives. ⋯ From their own perspectives, frequent ED visitors are in need of urgent care. It is particularly important to these patients that the personal meaning they attach to their symptoms is attended to and respected by the ED staff.