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Epidural haematoma — RCPSC EM MCQ

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HardTraumaEpidural haematomaRCPSC EM

CTAS 1. A 19-year-old hockey player lost consciousness after striking his temple, then briefly improved. He now has worsening headache, vomiting, GCS 11, and a dilated right pupil. CT head shows a biconvex extra-axial collection crossing no suture lines. What is the most likely diagnosis?

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Correct answer: DEpidural haematoma

A lucid interval, temporal trauma, ipsilateral pupil dilation, and a biconvex collection are typical of epidural haematoma.

Reference: ATLS Student Course Manual; Canadian CT Head Rule literature