can steroids be given in head trauma.mtb 3 says steroids are conservative management for SDH.so is it only chronic subdural hemmorage?mtb3 also says steroids have no role in head trauma patients .does this refer to acute trauma?
Steroids do not benefit in intracranial bleeding, they decrease edema around MASS lesions. You hyperventilate and mannitol as a BRIDGE to surgery, because hyperventilation briefly slows the herniation.
Hyperventilation has a very short term efficacy and is probably ineffective after 24 hours.
In subdural hematomas conservative management is done with steroids, and emergency craniotomy is done ONLY if there are lateralizing signs and midline displacement.
Steroids do not help in epidural, subarachnoid, and in severe subdural. They only help in mild cases of subdural that are treated conservatively.
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