Introduction To date, there is no evidence concerning the emergency surgical management
of severe trauma patients (STP) with severe traumatic brain injury (STBI) presenting a life-
threatening intracranial hematoma and a concomitant extra-cranial noncompressible active
bleeding. Current guidelines recommend stopping the extra-cranial bleeding first.
Nevertheless, the long-term outcome of STP with STBI mainly depends from intracranial
lesions. Thus, we propose a combined damage-control surgical strategy aiming to reduce …

Objectives: Although patients suffering from severe traumatic brain injury (sTBI) and severe
trauma patients (STP) have been extensively studied separately, there is scarce evidence
concerning STP with concomitant sTBI. In particular, there are no guidelines regarding the
emergency surgical management of patients presenting a concomitant life-threatening
intracranial hematoma (ICH) and a life-threatening non-compressible extra-cranial
hemorrhage (NCEH). Materials and Methods: A scoping review was conducted on Medline …