Case Study: Subdural Hematoma
K.B. is a 21-year-old man with a past medical history (PMH) of seizure disorder
controlled with carbamazepine (Tegretol). He was accidentally struck in the head by a
pitched baseball while batting in a baseball game. He was unconscious momentarily,
about 5 seconds, then awakened and was alert and responsive. After a few hours, K.B.
returned home with complaints of a “splitting” headache, drowsiness, slight confusion,
and some nausea. K.B. was taken to the local hospital emergency department (ED),
where a CT scan revealed a left subdural hematoma. He has been transferred to your
medical center, which has a neurosurgeon on call.
1. The ED RN gives you the above information during a phoned report. What other
information do you need to prepare for this patient?
2. Because you occasionally have trouble remembering the layers of the brain and
different hematomas, you look up subdural hematoma before K.B. arrives. What do you