Minor head injury. What is it? Head injury GCS >12 Adults (16-65): LOC, amnesia, confusion Kids ??
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Minor head injury
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Who to scan (adults) Those over 65, anticoagulated GCS 30 minutes ??Dangerous mechanism – Struck by motor vehicle – Ejected from motor vehicle – Fall >3 feet or 5 stairs – Otherwise keep for ~4 hours then discharge
Transcript of Minor head injury. What is it? Head injury GCS >12 Adults (16-65): LOC, amnesia, confusion Kids ??
Minor head injury
What is it?
• Head injury• GCS >12• Adults (16-65): LOC, amnesia, confusion• Kids ??
Who to scan (adults)• Those over 65, anticoagulated• GCS <15 at 2 hours post• Signs of basilar skull fracture• ?2 or more vomits• ?Retrograde amnesia to event >30 minutes• ??Dangerous mechanism– Struck by motor vehicle– Ejected from motor vehicle– Fall >3 feet or 5 stairs– Otherwise keep for ~4 hours then discharge
KidsA:<2, b:≥2
• Are they normal now?
• Do they have a big bump that is not on the front
• Were they hit hard• LOC• Vomit• Headache
No scanning,
Anticoagulated, negative CT? Home, right?
• Don’t think too hard about this article:• MANAGEMENT OF MINOR HEAD INJURY IN
PATIENTS RECEIVING ORAL ANTICOAGULANT THERAPY: A PROSPECTIVE STUDY OF A 24-HOUR OBSERVATION PROTOCOL
• Menditto, V.G., et al, Ann Emerg Med 59(6):451, June 2012
• 6% of people on anticoagulation with a first negative CT had a bleed on repeat CT after 24 hours
• Lalalalalala I’m not listening.
