Head Injury Nice (passmedicine) Flashcards
1
Q
Head Injury:
Nice guidance on investigation
CT Head Immediately
A
- GCS< 13 on initial assessment
- GCS< 15 at 2 hours post injury
- suspected open or depressed skull fracture
- Any sign of basal skull fracture (haemotypanum (ear), panda eyes, cerebrospinal fluid leakage from ear to nose, battle sign (fracture of middle cranial fossa and extravasion of middleauricular artery)
- Post traumatic seizure
- Focal neurological deficit
- > 1 episode of vomittng
2
Q
Head Injury:
Nice guidance on investigation
CT Head Within 8 hours
A
For adults with any of the folllowing risk factors who have experienced some loss of conciousness or amnesia since the injury:
- age 65 or older
- any history of bleeding or clotting disorders
- dangerous mechanism of injury
- more than 30 mins of retrograde amnesia of eents immediately before the head injury
3
Q
Head Injury:
Nice guidance on investigation
CT Head Within 8 hours
A
If a patient is on warfarin who has sustaineda head injury with no otherindications for a CT, perform a CT head scan within 8 hours of the injury
