Management of Subgaleal Hematoma in Adults

Initial Assessment and Stabilization

• Evaluate hemodynamic stability and assess for signs of significant blood loss, as subgaleal hematomas can cause substantial hemorrhage requiring fluid resuscitation 1

Conservative Management (First-Line)

• Apply cold compresses to the affected area during the first 24-48 hours to reduce swelling and limit hematoma expansion, and discontinue or reverse anticoagulation if the patient is on anticoagulant therapy, after weighing risks and benefits 2

Surgical Approaches (When Indicated)

• In complex cases, consider endoscopic-assisted evacuation to ensure complete removal while minimizing tissue trauma 3

Special Considerations

• Recurrent hematomas may indicate an underlying coagulation disorder requiring further investigation 2

Prevention of Recurrence

• Address underlying causes such as coagulation disorders 2