Andyvolans said:
> "My bottom line is Head injury plus warfarin, check INR. If elevated out of
treatment range, admit under medics for control."
Presumably you are referring to patients with GCS 15 and no other symptoms or
signs.
Are the "Medics" happy to take a patient with a higher risk of intracranial
bleeding under their care on that ground? Would it not make more sense to refer
to the trauma surgeons (or the team that normally deals with head injuries)
for neuro-obs. and maybe let them consult the Medics to control the INR?
>If normal treatment range, any symptoms need CT.
So, do you observe/admit to be ready to scan should they develop any ominous
sign?
M. Della Corte
Staff Grade ED
Oxford
|