Neurosurgery Flashcards
1
Q
Indications for a CT head
A
CT within 1 hour
- GCS <13 on initial assessment in ED
- GCS <15 2 hours post injury
- suspected open or depressed skull fracture
- signs of base of skull fracture (haemotympanum, CSF leak, battle sign)
- post-traumatic seizure
- focal neurology on examination
- > 1 episode of vomiting
CT within 6 hours
- > 65 years old
- hx of coagulopathy
- high energy mechanis,
- retrograde amnesia >30 minutes
