The results from the CT head are back. You see a crescent shaped lesion as expected and you pat yourself on the back. On to managing it now…

The patient is still in A&E and their state of confusion prompts you to do something urgently to help them. You knew that the management of a symptomatic subdural haemorrhage might involve a burr hole. Given the inexperience to assess whether this will require a burr hole or not and the obvious lack of ability to perform one yourself (no offence) what should you do next?

Start mannitol in A&E whilst speaking to neurosurgery

Reverse Warfarin whilst speaking to neurosurgery

Speak to neurosurgery for management before doing anything