PT - JOURNAL ARTICLE AU - Clément Hoffmann AU - E Falzone AU - A Dagain AU - A Cirodde AU - T Leclerc AU - B Lenoir TI - Successful management of a severe combat penetrating brain injury AID - 10.1136/jramc-2013-000121 DP - 2014 Sep 01 TA - Journal of the Royal Army Medical Corps PG - 251--254 VI - 160 IP - 3 4099 - http://militaryhealth.bmj.com/content/160/3/251.short 4100 - http://militaryhealth.bmj.com/content/160/3/251.full SO - J R Army Med Corps2014 Sep 01; 160 AB - 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.