Last Updated on June 4, 2022
Head CT is required in minor head injury if patient has any of these signs:
High risk (for neurological intervention)
- Age ≥65 years
- GCS <15 at 2 hours after injury
- Suspected open or depressed skull fracture
- Any sign of basal skull fracture
- Vomiting ≥2 episodes
Medium risk (for brain injury on CT)
- Amnesia before impact >30 mins
- Dangerous mechanism
Exclusion Criteria
- Non-trauma cases
- GCS <13 on arrival
- Age <16 years
- Coumadin or bleeding disorder
- Obvious open skull fracture