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afya
CT scanning Head Injury
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ie head injury, on warfarin - need CT within 8hrs Under 1 hr if ... GCS <13 at 1st assess or <15 2hrs post injury Fracture - open / depressed skull or suspect base of skull (panda eyes, CSF leak nose or ears, haemotympanum, battle sign (bruise over mastoid)) Fit post injury, focal deficit vomiting >1 episode amnesia / LOC with coagulopathy Under 8hrs if amnesia / LOC 65+ yrs dangerous mechanism (>1m or involve motor vehicle) amnesia >30mins pre event any Hx bleeding / clotting disorder - or on warfarin Under 16yrs witnessed LOC or amnesia >5mins, abN drowsiness vomiting 3 or more episodes suspect NAI - bruise, laceration <1 GCS <14 (>1) or <15 (<1) plus all above (1 and 8 hrs)
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