Clinical Case Database / Category: Practical Procedure

A traumatic C-Spine injury with extensive head wound

Publication details

Dr Louise Olson, Mr Sumohan Chatterjee
Foundation Years Journal, volume 6, issue 7, p.32 (123Doc Education, London, July 2012)


Patients with traumatic head injuries can be daunting to manage, especially in the middle of the night. It is imperative to approach the patient as per Advanced Trauma Life Support (ATLS) guidance and get senior assistance early. Closure of scalp wounds requires adequate time, appropriate analgesia, consent and knowledge of the difference techniques for wound closure and complications that can develop. I present a case of a 75 year old female who attended A&E in the middle of the night after a mechanical fall with an unstable, c-spine injury and a deep laceration to her scalp of unknown size or depth. I present the step – by – step process of this lady’s scalp wound closure with the issues raised, followed by MCQs.

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Dr Louise Olson


Mr Sumohan Chatterjee (Corresponding author)

Salford Royal Foundation Trust


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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