Transfer to hospital with a CT scanner and neurosurgeon. Advocate helmets for bicycling, skateboarding, snowboarding, rollerblading, and horse and motorcycle riding. If treated early, prognosis usually is excellent, because the underlying brain injury generally is limited. EDH is more likely to occur with a fall. Overall, EDH is much less common in older patients.
Brain atrophy stretches bridging veins.
Movie of a young, professional skateboarder incurring an epidural hematoma, among other injuries, during a fall. Right temporal epidural hematoma with midline shift. Patient should be taken immediately to the operating room for neurosurgery. This may require emergent transport to a trauma center or other facility with a neurosurgeon available. Aeromedical transport to a neurosurgical facility may make the difference between a neurologically intact patient, a severely disabled patient, and a dead patient.