A 28-year-old with minor head trauma has GCS 15, no loss of consciousness, no vomiting or severe headache, normal neurologic exam, no anticoagulant/an...

Question

A 28-year-old with minor head trauma has GCS 15, no loss of consciousness, no vomiting or severe headache, normal neurologic exam, no anticoagulant/antiplatelet use, and no skull fracture signs. According to ED guidelines, what is the best imaging decision?

Accepted Answer

No head CT; provide discharge instructions and return precautions

Answer

Obtain noncontrast head CT in ED

Answer

CT angiography of head/neck

Answer

MRI brain

Answer

Observe in ED with mandatory repeat neuroimaging

Mild Traumatic Brain Injury — MRCEM SBA MCQ

A 28-year-old with minor head trauma has GCS 15, no loss of consciousness, no vomiting or severe headache, normal neurologic exam, no anticoagulant/antiplatelet use, and no skull fracture signs. According to ED guidelines, what is the best imaging decision?