Head Injury management in primary care - Coggle Diagram
Head Injury management in primary care
Rapid assessment to identify if 999 emergency
Administer life saving support until transfer
Glasgow Coma Scale - if score less than 15
Neck pain or tenderness
Paraesthesia in extremities
Cervical immobilsation for suspected cervical spine injury
Mechanism of injury
Fall from height?
How and when it occured
Consciousness, confusion, amnesia, seizure, vomiting, headache, neck pain, visual disturbacnce or diplopia
Recent alcohol or drug intake
PMH including pre-injury function, bleeding disorders, previous head trauma, surgery.
Leakage from ear of ?CSF, blood, haematoma, periorbital haematoma
Cranial nerves - fundoscopy, balance/walking ability, Paraesthesia, loss of muscle power.
Signs of trauma to head, neck
Neck tenderness? - possible cervical spine injury
Awareness of non accidental injury
Self-harm, domestic violence, child maltreatment
GCS, vital signs and signs of hypoxia/shock?
Mild head injury
If symptomatic of vomiting, worsening headache or new neuro symptoms - REFER URGENTLY