Monday, February 18, 2013

CT Scanning in Head Injury (NICE Guidelines)

CT scanning to be performed in head injury and reports available in 1 hour if any of these is present:

Mnemonic: Very Good Friends Should Drive AlcohoLiCs

V        more than 1 episode of Vomiting
G        GCS less than 13 on ED presentation
           GCS less than 15 at two hours from injury
F         Fractures (observed or expected: Open/Depressed/Base of Skull)
S         Post traumatic Seizures
D        Focal Neurological Deficits
ALC   Any Amnesia/LOC/Coagulopathy (abnormal coagulation/or on Aspirin/Clopigrel)

(Compiled by Dr Sajjad Pathan)

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