A 34-year-old on warfarin for DVT sustains a minor head injury. He is alert, neurologically normal. Head CT is negative for bleed. According to 2023 A...

Question

A 34-year-old on warfarin for DVT sustains a minor head injury. He is alert, neurologically normal. Head CT is negative for bleed. According to 2023 ACEP policy, which disposition is reasonable?

Accepted Answer

Safe discharge with return precautions after a single negative CT

Answer

Mandatory 24-hour observation with repeat CT

Answer

Lumbar puncture to exclude subarachnoid haemorrhage

Answer

Hold warfarin for 7 days and discharge

Answer

Repeat CT at 6 hours before discharge is required

us-usmle-step-2 MCQ (SBA): Mild Traumatic Brain Injury

A 34-year-old on warfarin for DVT sustains a minor head injury. He is alert, neurologically normal. Head CT is negative for bleed. According to 2023 ACEP policy, which disposition is reasonable?