"Trauma flap" a large incision that provides exposure of the hemicranium. Typically used for a decompressive crani for something like a large acute subdural hematoma, malignant Sylvian stroke, elevated ICP's that don't respond to typical methods. The key here is to make sure it is actually large enough to decompress the brain. If it's too small the swollen pressurized brain oozes out like toothpaste causing more damage, typically venous infarction around the edges of the cut bone. This one could have been bigger, but it was big enough for the job at hand.
Since this an emergency situation I doubt there would be time to safely do an MRI a CAT would have to sufficr. At my hospital one surgeon buries the flap in the abdomen the rest bank it in the bone bank.