Fig. 1

Modular process of continuous neurosurgical treatment for TBI. Level 1: the skills need to be mastered by all naval medical personnel and should be finished within the “golden 1 h” after injury. Level 2: the skills need to be mastered by all naval surgeons (despite their specialty) and better be finished within 6 h after injury. Level 3: the skills need to be mastered by deployed neurosurgeons and should be finished within 48 h after injury. TBI traumatic brain injury