Dressings which Conceal Hemorrhage

The article in Pediatrics (29:907, 1962) on "Massive Hemorrhage in the Scalp in the Newborn Infant," by Pachman, is quite timely. However, I think a more common situation which may lead to the same result, i.e., hemorrhagic shock, is a neurosurgical procedure on the head of a young infant. Having been stationed in various hospitals I had noticed that neurosurgeons tend to place a rather large bulky dressing on the scalp of the infant who has undergone craniotomy. Although a small amount of blood may be hidden under such a dressing it can be enough blood loss in a small infant to cause shock and ultimately death.