Identify the patient in the above scenario requiring immediate emergency surgical intervention and provide rationale for your choice.

Question

Two individuals come to the emergency department with head injuries. One, 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week.

Differentiate the pathophysiology of extradural hematoma and subdural hematoma. Determine which patient in the above scenario requires immediate emergency surgical intervention and provide rationale for your choice.

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