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Prior to CT scan the patient drops his GCS to GCS 8 (E2, V1, M5). A repeat primary survey and set of observations remains otherwise unchanged.
Describe your immediate management of this patient.
A trauma CT scan (head to pelvis) is undertaken and shows the following.
What is the name of this sign and what is it’s clinical significance?
A Tension pneumocephalus is diagnosed following the trauma CT scan. What are the next steps in management of this patient, in addition to treatment already instigated in question 1?