The management of traumatic brain injury involves many issues, focusing on the management of secondary brain injury, with emphasis on the prevention and early detection of brain herniation, especially the early detection and management of intracranial hematoma, for good outcome. The management of primary brain injury is mainly about the care and symptomatic treatment of coma and hyperthermia that have been produced, in addition to the observation of the condition, to prevent complications and avoid further damage to the brain tissue and organism. It is important to observe the patient’s indicators dynamically, especially the observation of consciousness, pupils, neurological signs and vital signs. The patient’s pupils, neurological signs and vital signs are also important. The CT brain should be reviewed in a timely manner and intracranial pressure testing should be performed if available.