SOLVED2523

A 75-year-old woman with a history of alcoholism, chronic obstructive pulmonary disease, and atrial fibrillation fell while descending the stairs. She hit her head but maintained consciousness after the fall. She refused to be evaluated in the emergency department and returned home with her daughter. Two hours later she is noted to become progressively lethargic. She is brought to the emergency department where she starts vomiting and becomes unresponsive. On examination, her vital signs are normal but she is comatose. Her right pupil is dilated but reactive to light. She does not respond to verbal or painful stimuli. Computed tomography of the head shows large subdural hematoma compressing the right cerebral parenchyma. What is the best treatment option for this patient?
SCIENCE
HEALTH SCIENCE
NURSING

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