Question

A 37-year-old on apixaban presents after minor head trauma with GCS 15 and a normal head CT. He is asymptomatic. What is the best management per ACEP clinical policy on mild TBI?

Accepted Answer

Discharge with return precautions; no routine repeat CT

Answer

Admit for 24-hour observation and repeat CT in 6 hours

Answer

Start prophylactic anti-epileptic drugs

Answer

Reverse anticoagulation with andexanet alfa

Answer

Obtain MRI brain urgently

Practice question

A 37-year-old on apixaban presents after minor head trauma with GCS 15 and a normal head CT. He is asymptomatic. What is the best management per ACEP clinical policy on mild TBI?