Question

A 65-year-old with minor head injury on apixaban presents 2 hours after fall; GCS 15, brief LOC, normal neuro exam. CT head is negative. What is the appropriate disposition?

Accepted Answer

Discharge with head injury precautions after observation and shared decision-making

Answer

Admit all anticoagulated patients for 24-hour observation

Answer

Reverse apixaban with andexanet in all cases

Answer

Withhold anticoagulation permanently

Answer

Obtain MRI before discharge

Practice question

A 65-year-old with minor head injury on apixaban presents 2 hours after fall; GCS 15, brief LOC, normal neuro exam. CT head is negative. What is the appropriate disposition?