Decision support for acute subdural hematoma

After my previous post on epidural hematoma, I now converted the BTF surgical guideline on acute subdural hematoma into a decision supporting system. Following the same steps as described previously, here we go:

Step 1: the original text-version of the guideline’s recommendations

Step 2: create a flowchart

(click to enlarge)

Step 3: convert into an app!

Here is one picture, more images are available at

Although emulator screenshots are running at iOS4, the app has been tested successfully at iOS5 as well!

Pieter Kubben
Information Technology editor
Surgical Neurology International


  1. Katranji says:

    What about elderly patient?
    Are you doing thé same guidlines?
    In our institute we are usually waiting that acute hematoma become chronic one!

  2. The guidelines are the official guidelines from the Brain Trauma Foundation. I fully agree with your comment to wait IF possible. The guidelines suggest that if some criteria are met (as displayed in the flowchart), surgery should not be postponed. In my personal experience, the US-based guidelines are more aggressive than we would be in Europe. I think that this is your experience from France too. Thanks for the remark.

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