A 22-year-old man presents after a minor head injury during a hockey game. He briefly lost consciousness, now has a GCS of 15, no vomiting, no amnesia...

Question

A 22-year-old man presents after a minor head injury during a hockey game. He briefly lost consciousness, now has a GCS of 15, no vomiting, no amnesia, and no signs of skull fracture. He is not on anticoagulants. According to the Canadian CT Head Rule, what is the most appropriate management?

Accepted Answer

Observe in the emergency department or discharge with head injury instructions without CT imaging.

Answer

Order an immediate CT scan of the head for all head injuries.

Answer

Admit to hospital for 24-hour observation and CT scan.

Answer

Order skull X-rays only.

Answer

Start prophylactic anticonvulsants and arrange CT later.

ca-mccqe1 MCQ (SBA): Minor head injury imaging

A 22-year-old man presents after a minor head injury during a hockey game. He briefly lost consciousness, now has a GCS of 15, no vomiting, no amnesia, and no signs of skull fracture. He is not on anticoagulants. According to the Canadian CT Head Rule, what is the most appropriate management?