Emergency Decompressive Craniostomy “Burr Hole” Using an Intraosseous Vascular Access System in a Resource-Limited Setting: A Technical Report on a Cadaver

This paper describes an alternative approach to emergency burr hole evacuation of epidural hematoma using the intraosseous (IO) vascular access system. The IO vascular access system is commonly available in the Emergency Department. We demonstrate that it can be used in rare situations where immediate neurosurgical intervention and the standard cranial drill and brace are not available for burr hole craniostomy.