Question

A 71-year-old with minor head injury on apixaban, normal neuro exam, and a negative initial head CT is stable. Per ACEP 2023, which disposition is reasonable?

Accepted Answer

Discharge with return precautions if criteria met; no routine repeat CT

Answer

Mandatory 24-hour admission for all anticoagulated patients

Answer

Routine MRI before discharge

Answer

Stop apixaban indefinitely

Answer

Start prophylactic antiepileptic therapy

Practice question

A 71-year-old with minor head injury on apixaban, normal neuro exam, and a negative initial head CT is stable. Per ACEP 2023, which disposition is reasonable?