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Question preview · RCPSC EM

A 54-year-old taking warfarin strikes his head in a fall. GCS is 15, examination is normal, and he had no loss of consciousness, amnesia, disorientation or vomiting. How should the Canadian CT Head Rule guide imaging?

  1. A. Treat the rule as inapplicable and decide CT outside its pathway
  2. B. Apply the rule; its negative result supports omitting immediate head CT
  3. C. Apply the rule after confirming an INR within therapeutic range
  4. D. Apply the rule after six hours of stable neurologic observation
  5. E. Substitute the Ottawa SAH Rule to determine the CT indication

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