Surgical Management of Hematoma When addressing cranial hematomas, the sources emphasize that simple drill holes (burr holes) are frequently ineffective. Even when performed by experienced hands, they are easily placed incorrectly and rarely drain enough of the hematoma to make a clinical difference. Instead, a bone flap craniotomy is identified as the definitive, lifesaving procedure required to effectively decompress the brain. Trauma teams are urged to ensure this procedure is performed in a timely fashion by a practitioner who is specifically trained and experienced in it.

Prognosis and Pediatric Considerations The protocols dictate that all patients should receive aggressive treatment while awaiting neurosurgical consultation. This is particularly critical for children ...