Question

A 40-year-old man presents after a fall with brief loss of consciousness and current GCS 15. He has no vomiting, no amnesia, no seizure, no headache and no signs of skull fracture. He is not on anticoagulants. According to the Canadian CT Head Rule, what is the most appropriate management?

Accepted Answer

Discharge with head injury advice and no imaging

Answer

Order immediate CT head

Answer

Observe in the emergency department for 6 hours then CT if symptoms develop

Answer

Admit to hospital for 24-hour neurological observation

Answer

Order skull radiographs

Practice question

A 40-year-old man presents after a fall with brief loss of consciousness and current GCS 15. He has no vomiting, no amnesia, no seizure, no headache and no signs of skull fracture. He is not on anticoagulants. According to the Canadian CT Head Rule, what is the most appropriate management?