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In the case of acute head injury, our main concern is to keep the injured brain as quiet as possible. Edema of the brain should be combatted by means of dehydration. Blood in the subarachnoid space should be removed.
Compound fractures of the vault of the skull should be explored and the dura closed, except in those cases where the fracture is over a venous sinus. Signs of a ruptured middle meningeal artery should be explored as soon as suspected.
Simple depressed fractures of the skull are of little significance and require no treatment unless they are over a motor area or the speech area of the cortex.
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© 1936 Published by Elsevier Inc.