hi
is anybody actively looking at implementing the nice
guidelines for head injuries. we have started
discussing with our radiology colleagues and there
were some queries on the following points just for
openers, which i am sure will increase the more we
look at implementing it in its entirerity.
1) any idea what <gcs13 at anytime means- does it mean
measured by a healthcare professional?
2) >1 episode of vomiting - especially kids this is
pretty common. and what do folks think of one seizure
post injury with complete recovery in kids requiring
c.t scan
3)any l.o.c - this again is a big bug bear - should
there be a time span- say l.o.c over a minute or so
altho this is not evidence based we do get patients
often with momentary l.o.c say less than a minute. and
pts who are amnesic for 5 minutes or so post injury
might say there were unconscious altho they might not
be.
these are national guidelines and can we interpret and
adapt it locally. what is the consensus?
sri
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