This article discusses in connection with a prehospital care-common case the importance of correct primary expert care in craniotrauma and its importance in the chain of survival. It summarizes the diagnostic possibilities and usual therapeutic management in this type of injury and says Chat emergency medicine physician has to make quick decisions and life-saving procedures under time pressure. The error or delay in this phase of health care managemem are fatal and irreversible.

        Key words: craniotrauma - the chain of survival - oedema of brain - the therapy of cerebral hypertension