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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
History
Mechanism of injury
RTA?
Diving accident?
Fall from height?
How and when it occured
Symptoms
Consciousness, confusion, amnesia, seizure, vomiting, headache, neck pain, visual disturbacnce or diplopia
Recent alcohol or drug intake
Anti-coagulation meds?
PMH including pre-injury function, bleeding disorders, previous head trauma, surgery.
Examine
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?
Follow up
Mild head injury
If symptomatic of vomiting, worsening headache or new neuro symptoms - REFER URGENTLY