A 75-year-old female on warfarin with an INR of 4.2 falls from standing height and hits her occiput. She has a GCS of 14 with mild confusion. She has ...

Question

A 75-year-old female on warfarin with an INR of 4.2 falls from standing height and hits her occiput. She has a GCS of 14 with mild confusion. She has a boggy occipital haematoma. Per NICE CG176, within what timeframe should CT head be performed?

Accepted Answer

Within 1 hour - she has both anticoagulation AND a GCS below 15, which are criteria for 1-hour CT

Answer

Within 4 hours

Answer

CT is not required if GCS is 14 or above

Answer

Within 24 hours

Answer

Within 8 hours - standard for anticoagulated patients with head injury

uk-dipimc MCQ (SBA): Anticoagulated Head Injury - 1-Hour CT

A 75-year-old female on warfarin with an INR of 4.2 falls from standing height and hits her occiput. She has a GCS of 14 with mild confusion. She has a boggy occipital haematoma. Per NICE CG176, within what timeframe should CT head be performed?