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IBCC Episode 92 - Intracranial hemorrhage

The Internet Book of Critical Care Podcast

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Is Early Hematoma Evacuation Beneficial?

Two studies looked at who benefited from early hematoma evacuation. One identified a sub group of patients who seemed to benefit, but the other found no benefits. The bottom line is that early hemotoma evacuation doesn't seem to be beneficial. But i think there is a big caviot here that both of these studies involved rescue surgery for patients with expanding hematomas.

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