A 58-year-old with mild TBI (GCS 15) on clopidogrel has negative initial head CT. He is asymptomatic. Disposition per ED policy?...

Question

A 58-year-old with mild TBI (GCS 15) on clopidogrel has negative initial head CT. He is asymptomatic. Disposition per ED policy?

Accepted Answer

Safe discharge with return precautions; no routine repeat CT if asymptomatic

Answer

Admit all antiplatelet users for observation

Answer

Mandatory repeat CT at 6 hours

Answer

MRI brain prior to discharge

Answer

Stop antiplatelet and avoid follow-up

mTBI (Disposition on Antiplatelet) — MRCEM SBA MCQ