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Head Injury


There is very little data for placing bleeding-risk patients with minor head injury in obs, but protocols can still be used



Inclusion Criteria

  • Transfer Criteria
  • Normal CT scan of brain
  • Acceptable Vital Signs
  • Headache, dizziness, transient vomiting, transient amnesia are acceptable
  • EtOH level <100 for intoxicated patients
  • Patients mentating clearly

Exclusion Criteria

  • Unstable VS
  • Abnormal CT Scan of brain
  • Depressed skull fracture
  • Penetrating skull injury
  • Focal neurologic abnormality or significant confusion
  • Uncooperative patient, restraints, or sitter required
  • Acute psychiatric disorder, suicidal patient

Potential Interventions

  • Serial neurologic exams including vital signs every 2-4 hours, as ordered
  • Analgesics
  • Antiemetics
  • Neurosurgical consultation if indicated
  • Repeat CT scan or MRI as indicated

Discharge Criteria

Home

    • Acceptable VS
    • Normal serial neurologic exams

Admit

    • Deterioration in clinical condition
    • Development of any exclusion criteria


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