Table 3.

Description of Patients Who Died

A	66-year-old male with a past medical history of renal insufficiency, hypertension, coronary artery disease, prior nephrectomy, renal cell cancer, peripheral vascular disease, peptic ulcer disease, seizure disorder, and hyperlipidemia who fell from a roof and presented with an initial GCS score of 15. CT demonstrated intrafalcine subdural hematoma, left subdural hematoma, and intraparenchymal hemorrhage in the left lateral posterior temporal lobe, with diffuse left cerebral hemisphere sulcal effacement. Second head CT demonstrated a mild increase of the left temporal hemorrhage, but was otherwise unchanged. He remained in status epilepticus. He declined rapidly (less than 1 hour) after arrival to the ED and began seizing. After 11 days in status epilepticus the patient’s family withdrew care.
B	68-year-old female with past medical history of ventriculoperitoneal shunt, meningioma resection, end-stage renal disease not on dialysis, coronary artery disease, depression, dyslipidemia, diabetes mellitus, and Menier’s disease who presented after a fall from standing height with an initial GCS score of 14. Pertinent medications included aspirin and clopidogrel. Her initial scan demonstrated subdural hemorrhage along the left lateral convexity, subfalcine subdural, subdural along tentorium bilaterally, subarachnoid hemorrhage within the bilateral sylvian fissures, and anterior interhemispheric fissure with effacement of lateral ventricles bilaterally. A second head CT obtained 3 hours later demonstrated worsening of all hemorrhages, as well as 8 mm of midline shift. She decompensated rapidly in the ED to a GCS score of 9 and was taken to the operating room for decompression, and the family withdrew care 3 days later.
C	71-year-old male with a past medical history of hypertension, diabetes mellitus, coronary artery disease, congestive heart failure, and chronic renal insufficiency who presented after a syncopal episode and had a concomitant urinary tract infection and pneumonia. His initial GCS score was 15, and he was found to have a small punctate cerebellar hemorrhage versus calcification that remained unchanged on subsequent head CTs obtained throughout his hospital course. He ultimately died of septic shock.
D	79-year-old male with past medical history of coronary artery disease, diabetes mellitus, and pancreatic cancer who had been diagnosed with an unspecified movement disorder (likely Parkinson’s) previously, who presented after a fall from standing height. His initial GCS score was 15. His initial head CT demonstrated a small traumatic subarachnoid hemorrhage that had resolved by the second head CT. He was discharged home, but returned 2 days later after another witnessed fall from standing height. His head CT at that time demonstrated a large intraparenchymal hemorrhage, with left-sided parafalcine and left supratentorial subdural blood and a small amount of intraventricular extension. His family withdrew care.

GCS = Glasgow Coma Scale.