Emergency Medicine Book

http://www.fpnotebook.com/

Management of Moderate Head Injury

Advertisement

  1. See Also
    1. Head Injury
    2. Management of Mild Head Injury
    3. Management of Severe Head Injury
  2. Signs
    1. Glasgow Coma Scale: 9-13
    2. Confused or somnolent
    3. Follows simple commands
  3. Initial Evaluation
    1. Same as in Management of Mild Head Injury
    2. CT Head in all cases
    3. Admit all for observation
  4. Admission Monitoring
    1. Frequent neurologic checks
    2. Follow-up CT Head
      1. Condition deteriorates or
      2. Before discharge
  5. Disposition
    1. Patient improves (90%)
      1. Discharge after 48 hours
      2. Follow-up clinic
    2. Patient deteriorates (10%): Not following commands
      1. Repeat CT Head
      2. Follow Management of Severe Head Injury protocol

Navigation Tree