Management of Closed Head Injuries in Urgent Care | Points and Pearls
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Management of Closed Head Injuries in Urgent Care

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Points & Pearls Excerpt

  • A focused history for CHI should include observations from witnesses to the event (if available), along with mechanism of injury, any LOC, other symptoms and their duration, drug or alcohol use, medications, and history of seizures or past head trauma.
  • The physical and neurological examinations should include a GCS score (see Table 1), pupillary examination, and cranial nerve evaluation, and should note any evidence of skull fracture and/or basilar skull fracture.
  • For adult patients (aged ≥16 years), the CDC/ACEP guidelines for mTBI endorse the clinical variables for CT identified by both the the New Orleans Criteria and the Canadian Head CT Rule. (See Table 2.)
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Publication Information
Author

Keith Pochick, MD, FACEP (Updating Author)

Peer Reviewed By

Melinda Johnson, DNP, APRN, FNP-BC, AGACNP-BC, ENP-C
Vanderbilt University School of Nursing
Patrick O’Malley, MD
Newberry County Memorial Hospital

Publication Date

May 1, 2022

CME Expiration Date

May 1, 2028    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits

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