Traumatic Acute Subdural Hematoma

To the Editor: In some respects, the elegant study of Seelig et al. in the June 18 issue 1 is of less importance to neurosurgeons than to surgeons and emergency physicians, who are often the providers of first-line care to patients with severe trauma, including those with head injuries. Whereas previous studies of patients with head injuries indicated that early stabilization with intubation and control of intracranial pressure, hypoxia, and hypotension improved outcome, 2 , 3 the report of Seelig et al. shows that the time for these measures is limited, at least in patients with acute subdural hematoma. Finding the balance between initial . . . No extract is available for articles shorter than 400 words.