Data gathering
- Red flags – LOC, drowsy, progressive headache, recurrent vomiting, amnesia, warfarin, CSF leak
- Others – mechanism
- Examine – CN, bruising around eyes/ears
Clinical management
- Investigations
- CT head
- Treatment
- Analgesia
- Supervision 24hours
- Avoid driving, alcohol, sedatives until fully recovered
- Followup / Safety-net
- concussion, written info – headaches, reduced concentration
- ask friend/family to read information
- review in 2 weeks if ongoing
NB:
- Beware of delayed subdural particularly in elderly, alcohol excess, confusion, balance changes, increased falls