ABSTRACT

Scalp The scalp is vascular, hair-bearing skin; at its base is a thick fibrous membrane called the galea aponeurotica. Lying between the galea and the skull is a very thin sheet of connective tissue that is penetrated by blood vessels (emissary veins) emerging through the skull, and beneath this connective tissue is the periosteum of the outer table of the skull. Injury to the vascular scalp can lead to profuse bleeding which, although can usually be stopped by local application of pressure, in some circumstances (e.g. acute alcohol intoxication) can lead to physiological shock and death. Bleeding scalp injuries can continue to ooze after death, particularly when the head is in a dependent position.