Tuesday, May 19, 2009

GP Saves Injured Boy By Drilling Head With Household Drill.

A country doctor has saved the life of a dying 12-year-old boy by using a household drill to bore into his brain after the boy had a bike accident.

Dewalt drill-same brand as one used by GP

The emergency "operation", by local GP Rob Carson in the Victorian country town of Maryborough, was yesterday hailed by a leading neurosurgeon as "one of the gutsiest life-saving efforts imaginable".

The drama happened late last Friday when Nicholas Rossi fell off his bike while riding in a quiet cul de sac outside a friend's house in Maryborough, a town of 7000 people 170km northwest of Melbourne. Nicholas was not wearing a helmet and the impact of his head hitting the pavement knocked him momentarily unconscious.

"He was a bit delirious at first, but then he stood up and said he was fine," his father, Michael Rossi, told The Australian yesterday. When he got home, Nicholas kept complaining of a headache and his mother, Karen, a trained nurse, took him to the district hospital where Dr Carson, a local GP, was on duty.

The doctor kept him for observation, but an hour later Nicholas began to drift in and out of consciousness and have spasms.

Dr Carson recognised it as a sign of internal bleeding in the skull that places acute pressure on the brain - the same deadly condition that recently claimed the life of actress Natasha Richardson, wife of Hollywood actor Liam Neeson. He also noticed that one of the boy's pupils was larger than the other - another sign of the internal bleeding.

The boy had fractured his skull and torn a tiny artery between the bone and the brain just above his ear. This created internal bleeding that became trapped between his skull and brain and formed into a huge blood clot, placing pressure on the brain.

If Dr Carson did not act within minutes, the boy would die.

"Dr Carson came over to us and said, 'I am going to have to drill into (Nicholas) to relieve the pressure on the brain - we've got one shot at this and one shot only'," Mr Rossi recalled.

The small hospital was not equipped with neurological drills, so Dr Carson obtained a household De Walt drill, used for boring holes in wood, from a hospital maintenance room.

To read full article click theaustralian

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