Head Injury

Question 1

What are the high risk factors?

Answer 1

-More than 1 vomiting episode
-Post traumatic seizure
-Clinical suspicion of skull fracture
-GCS<15 2 hrs after injury
-GCS<13 at initial assessment
-Any coag problem
-Thrombocytopaenia
-Haemophilia or Bleeding Disorder
-Therapeutic anticoagulation

Question 2

If patient is high risk, what next?

Answer 2

-CT Scan request immediately
-Aim to perform and report < 1hr.

Question 3

If patient is high risk, what should you consider?

Answer 3

-Cervical Spine Involvement?

Question 4

1st STEP

Answer 4

-Do ABCDE assessment