Teaching Points
- Certain clinical findings mandate immediate CT head - focal neurological deficit, patients on anticoagulation or suffering with a bleeding diathesis, penetrating skull injury, depressed skull fracture, < GCS 13 at any time since injury, post-traumatic seizure, unstable vital signs with major trauma.
- Patients with a history of LOC, amnesia/disorientation and a GCS > 13 must be further risk assessed based on clinical findings. Observation or CT head may be indicated.
- Patients with no LOC, amnesia or disorientation and GCS 15 can be safely discharged with advice and into the care of a responsible individual.
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