RT Journal Article SR Electronic T1 Successful management of a severe combat penetrating brain injury JF Journal of the Royal Army Medical Corps JO J R Army Med Corps FD British Medical Journal Publishing Group SP 251 OP 254 DO 10.1136/jramc-2013-000121 VO 160 IS 3 A1 Clément Hoffmann A1 E Falzone A1 A Dagain A1 A Cirodde A1 T Leclerc A1 B Lenoir YR 2014 UL http://militaryhealth.bmj.com/content/160/3/251.abstract 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.