Question

A 35-year-old man falls from a ladder and briefly loses consciousness. In A&E he is alert with GCS 15/15, but he has had one episode of vomiting and is on warfarin for a metallic heart valve. According to NICE head injury guidance, what is the most appropriate investigation?

Accepted Answer

Urgent CT head scan

Answer

No imaging is needed; discharge with advice

Answer

Skull X-ray

Answer

MRI brain in 2 weeks

Answer

CT head only if he vomits more than 5 times

Practice question

A 35-year-old man falls from a ladder and briefly loses consciousness. In A&E he is alert with GCS 15/15, but he has had one episode of vomiting and is on warfarin for a metallic heart valve. According to NICE head injury guidance, what is the most appropriate investigation?