A 58-year-old male with known haemophilia A sustains a head injury after falling off a ladder. His GCS is 14 with no focal neurological deficit. Per c...

Question

A 58-year-old male with known haemophilia A sustains a head injury after falling off a ladder. His GCS is 14 with no focal neurological deficit. Per current guidelines, what is the key difference in the management of this patient compared to a patient without a bleeding disorder?

Accepted Answer

He should be treated with the same urgency as an anticoagulated patient - urgent CT head and factor replacement should be arranged; the threshold for CT is lower

Answer

Haemophilia A does not affect the management of head injury

Answer

He needs CT head only if GCS drops below 13

Answer

He should be observed at home with advice to return if symptoms worsen

Answer

Factor replacement is only needed if visible bleeding is present

uk-dipimc MCQ (SBA): Head Injury in Haemophilia

A 58-year-old male with known haemophilia A sustains a head injury after falling off a ladder. His GCS is 14 with no focal neurological deficit. Per current guidelines, what is the key difference in the management of this patient compared to a patient without a bleeding disorder?