unstable pt with low GCS

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Intra-op head CT is a luxury that we cant afford here yet. Sounds very advanced!
 
The indication for the bone flap was to reduce the ICP given that the pt had injuries management of which contradicted each other (CHI and thoracic aortic PSA). 
Currently his LOC fluctuates with days when he is able to obey commands and those when he doesnt. 
 
K


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