Ostermayer: Prepared the page for translation

2026-01-18T02:01:09Z

Prepared the page for translation

← Older revision		Revision as of 02:01, 18 January 2026
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	* ''Inclusion:''		* ''Inclusion:''
	** Non-penetrating trauma to the head		** Non-penetrating trauma to the head
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	** Mild TBI patients discharged from the E should be informed abut post-concussive symptoms.		** Mild TBI patients discharged from the E should be informed abut post-concussive symptoms.
	* No specific recommendation for use of head MRI in patient with mild TBI		* No specific recommendation for use of head MRI in patient with mild TBI
			</translate>

Rossdonaldson1: Created page with "* ''Inclusion:'' Non-penetrating trauma to the head Presentation to ED within 24 hours of injury GCS 14 or 15 on initial evaluation in ED Age ≥ 16 * ''Exclusion..."

2015-01-08T05:01:11Z

Created page with "* ''Inclusion:'' ** Non-penetrating trauma to the head ** Presentation to ED within 24 hours of injury ** GCS 14 or 15 on initial evaluation in ED ** Age ≥ 16 * ''Exclusion..."

New page

* ''Inclusion:''
** Non-penetrating trauma to the head
** Presentation to ED within 24 hours of injury
** GCS 14 or 15 on initial evaluation in ED
** Age ≥ 16
* ''Exclusion:''
** Penetrating trauma
** Patients with multi-system trauma
** GCS < 14 on initial evaluation in the ED
** Age < 16
* '''Level A:'''
** A noncontrast head CT indicate in head trauma patients with LOC or post-traumatic amnesia only if ≥ 1 of following is present:
*** Headache
*** Vomiting
*** Age> 60
*** Drug or alcohol intoxication
*** Deficits in short-term memory
*** Physical evidence of trauma above the clavicle
*** Post-traumatic seizure
*** GCS < 15
*** Focal neurological deficit
*** Coagulopathy
* '''Level B:'''
** A noncontrast head CT should be considered in head trauma patients with no LOC or post-traumatic amnesia if there is:
*** Focal neurological deficit
*** Vomiting
*** Severe headache
*** Age ≥ 65
*** Physical signs of basilar skull fracture
*** GCS < 15
*** Coagulopathy
*** Dangerous mechanism of injury
** Patients with an isolated TBI who have a negative head CT scan result are at a minimal risk for developing an intracranial lesion and therefore may be safely discharged from the ED.
* '''Level C:'''
** In mild TBI patient with significant extracranial injuries and a serum S-100B level ≤ 0.5ℳg/L measured w/in 4 hours if injury, consideration can be given to not performing a CT.
** Mild TBI patients discharged from the E should be informed abut post-concussive symptoms.
* No specific recommendation for use of head MRI in patient with mild TBI

Template:ACEP TBI policy - Revision history

Ostermayer: Prepared the page for translation

Rossdonaldson1: Created page with "* ''Inclusion:'' ** Non-penetrating trauma to the head ** Presentation to ED within 24 hours of injury ** GCS 14 or 15 on initial evaluation in ED ** Age ≥ 16 * ''Exclusion..."

Rossdonaldson1: Created page with "* ''Inclusion:'' Non-penetrating trauma to the head Presentation to ED within 24 hours of injury GCS 14 or 15 on initial evaluation in ED Age ≥ 16 * ''Exclusion..."