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Post-traumatic seizure — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementPost-traumatic seizureDipIMC

A 20-year-old man is punched and falls, striking his head. He has a brief seizure, then becomes alert with a headache; observations are normal and friends want to take him home. What is the most appropriate transport decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Transport to the emergency department for head injury assessment

A post-traumatic seizure is a high-risk head injury feature requiring emergency department assessment. Resolution of the seizure and normal observations do not remove the need for evaluation. Benzodiazepines are for ongoing seizure activity, not a discharge strategy after traumatic seizure. The pearl is that transient neurological events after head injury matter even when the patient looks well later.

Reference: NICE Head Injury NG232; JRCALC Guidelines 2025