Initially presenting with GCS 4 on the scene, bilateral nonreactive pupils BP 110/60 mmHg. We present the case of a severe BTI with intracranial bleeding requiring surgical drainage and VV ECMO for severe respiratory failure.Ģ6 years old male suffered a motorbike crash accident. Consequently, trauma bleeding, and especially brain trauma are still formal contra-indications for ECMO. 1 Avoiding hypoxic brain damage is crucial but difficult to achieve in case of respiratory failure, given the potential harmful effect of ventilatory strategies (prone positioning, alveolar recruitment) on intracranial hypertension (ICH).ĮCMO is a lifesaving technique, assisting the failing heart or lungs, but circuit anticoagulation is required, which could increase the risk of bleeding. Brain Trauma incidence is about 235/100 000 inhabitants/year in Europe, frequently co-existing with thoracic trauma (35%).
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