Take Home Points
- Patients >65 or suspected of intoxication are at high risk for bleeds – scan them!!
- Epidural has a lucent period – be wary of decompensation and perform frequent re-evals.
- Anti-coagulated patients must be reversed. FFP takes hours to work, PCC takes minutes.
- Nasal fractures – examine septum for hematoma – need to drain these to avoid saddle nose deformity.
- Remember mechanism – what caused them to fall – consider syncope workup.
- Make sure you check the ears for hemotympanum
- Always walk your patients prior to discharge
- Scalp lacerations can bleed, A LOT, make sure to identify small arterial bleeds and perform multi level closure if necessary
REBEL Core Cast – Basics of EM – Head Injury
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Guyon J Hill, MD, FACEP, FAAP
Associate Professor of Emergency Medicine
Dell Children’s Medical Center/University of Texas at Austin – Dell Medical School
Carl R. Darnall Army Medical Center
Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)
Cite this article as: Ellsworth Wright, "REBEL Core Cast – Basics of EM – Head Injury", REBEL EM blog, June 1, 2022. Available at: https://rebelem.com/rebel-core-cast-basics-of-em-head-injury/.