A 68-year-old man after minor head trauma is on no anticoagulants and has normal neuro exam. He had loss of consciousness but GCS 15 on arrival. Accor...

Question

A 68-year-old man after minor head trauma is on no anticoagulants and has normal neuro exam. He had loss of consciousness but GCS 15 on arrival. According to ACEP policy on mild TBI, which approach is appropriate?

Accepted Answer

CT head decision support (e.g., Canadian CT Head Rule) to guide need for imaging

Answer

Discharge without imaging in all cases

Answer

Mandatory CT for all patients with LOC

Answer

MRI preferred over CT

Answer

Observation 48 hours mandatory before discharge

us-abem MCQ (SBA): Mild Traumatic Brain Injury

A 68-year-old man after minor head trauma is on no anticoagulants and has normal neuro exam. He had loss of consciousness but GCS 15 on arrival. According to ACEP policy on mild TBI, which approach is appropriate?