TY - JOUR T1 - Successful management of a severe combat penetrating brain injury JF - Journal of the Royal Army Medical Corps JO - J R Army Med Corps SP - 251 LP - 254 DO - 10.1136/jramc-2013-000121 VL - 160 IS - 3 AU - Clément Hoffmann AU - E Falzone AU - A Dagain AU - A Cirodde AU - T Leclerc AU - B Lenoir Y1 - 2014/09/01 UR - http://militaryhealth.bmj.com/content/160/3/251.abstract N2 - We report the case of successful management of a transcranial penetrating high-energy transfer injury in a 20-year-old soldier. The bullet traversed both cerebral hemispheres and lacerated the superior sagittal sinus rendering him unconscious. We detail the care received at all stages following injury from ‘Buddy Aid’ on the battlefield, resuscitation by a forward medical team through to prompt neurosurgery within 2 h of injury. Subsequent aeromedical evacuation and continuing aggressive critical care has allowed the patient to survive with acceptable neurological impairment after what is generally considered an unsurvivable injury. ER -