[The emergency doctor and neurosurgery (author's transl)].

The constant improvement in the medical care of craniocerebral injuries requires the introduction of an emergency ambulance accompanied by an experienced doctor. The doctor carries out the decisive first aid at the scene of the accident and decides which hospital department the injured person shall be transferred to. Open craniocerebral injuries and intracranial hemorrhages must be taken directly into a neurosurgical department. Two-thirds of the craniocerebral injuries were acute subdural and epidural hematomas, the remaining third comprised the open craniocerebral injuries. The treatment demands great operative experience and teamwork between the doctors of neighboring specialist fields. The introduction of an emergency ambulance with a doctor included in the team has led to improvement of the chances of healing and surival of severely injured patients.