Emergency Medicine Book

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Management of Moderate Head Injury

Aka: Management of Moderate Head Injury
  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. Evaluation: Initial
    1. Same as in Management of Mild Head Injury
    2. CT Head in all cases
    3. Admit all for observation (or Transfer to Neurosurgery)
  4. Evaluation: Inpatient Monitoring
    1. Frequent neurologic checks
    2. Follow-up CT Head in 12-24 hours
      1. Condition deteriorates or
      2. First CT abnormal or
      3. Per local protocol 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

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