scenario006
Despite this patient's obvious head injury and the possibility of an extra-axial haematoma, haemorrhage must be controlled as a priority and laparotomy performed emergently. Minimizing secondary brain injury from neuronal hypoxia is accomplished by ensuring adequate cerebral oxygenation and perfusion. Thus correction of shock is the first priority.
If the patient's neurological condition does not improve following arrest of haemorrhage and correction of shock, consideration may be given to performing blind burr holes in the operating room rather than transferring the patient to the CT scanner.