The main principle of treatment for patients with open craniocerebral injury is to turn the open craniocerebral injury into closed craniocerebral injury at the first time. The most effective way to turn an open craniocerebral injury into a closed craniocerebral injury is to perform a debridement and closure procedure. By closing the scalp laceration, it is possible to turn an open craniocerebral injury into a closed craniocerebral injury, which allows the patient to have the opportunity to undergo the next steps, including dehydration and cranial pressure reduction, hemostasis, neurotrophic therapy, and brain protection. As soon as possible to complete the cranial CT examination, even cranial MRI examination, otherwise the patient is not very easy to move, not convenient to do other treatment and examination.