head injury and aspirin

[Timothy Craig Hardcastle]

Daniel

My first reaction is "maybe", but second reaction would be - drain the
SDH and cauterize the bleeders then the platelets are not required in
the first place. Transfused platelets don't work immediately anyway.

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of daniel simon
Sent: 13 May 2008 17:24
To: trauma-list at trauma.org
Subject: head injury and aspirin

An elderly ( 82YO) pedestrian was hit by a car. His GCS is 11, his
injuries
include cerebral contusions, small SDH, multiple rib fractures and  a
femur
fracture. He is intubated and ventilated.He is on aspirin. The
neurosurgeon
wants to give him 6 units of platelets, The ED physician vocally argues
against it.. What is your opinion?