The Nice head injury guidelines are very clear on this aspect intracranial
injury until proven otherwise. Ie. Scan if GCS<13 at 2 hours. Even when
alcohol is likely cause.
Andy Webster
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of
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Sent: 16 November 2003 12:43
To: [log in to unmask]
Subject: nice head injury
Apologies if this has been already said or discussed previously, I must
have missed it.
The real problem is the intoxicated patient(or supposedly so). I have the
feeling that there is a tendency to dismiss these patients as "just drunk"
with a risk to miss important injuries. Perhaps these are the patients
where there is a really fine balance between risk of radiation and risk of
missing an intracranial bleed.
In fact, I feel that theye are the patients where clear and neat guidelines
would be most useful even though probably fairly difficult to produce.
M. Della Corte
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