A 40-year-old male sustains a closed head injury with a GCS of 13. He has a brief post-traumatic seizure at the scene lasting 2 minutes. Per NICE CG17...

Question

A 40-year-old male sustains a closed head injury with a GCS of 13. He has a brief post-traumatic seizure at the scene lasting 2 minutes. Per NICE CG176, does the seizure affect his management pathway?

Accepted Answer

Yes - a post-traumatic seizure mandates a CT head within 1 hour regardless of GCS

Answer

The patient should be started on prophylactic phenytoin pre-hospital

Answer

No - seizures after head injury are common and benign

Answer

CT is only needed if the seizure lasts more than 10 minutes

Answer

The seizure only requires an EEG, not CT

uk-dipimc MCQ (SBA): Post-Traumatic Seizure

A 40-year-old male sustains a closed head injury with a GCS of 13. He has a brief post-traumatic seizure at the scene lasting 2 minutes. Per NICE CG176, does the seizure affect his management pathway?