A 70-year-old female on apixaban falls at home and hits her head on a radiator. She has a 2 cm scalp laceration and a GCS of 15 with no neurological d...

Question

A 70-year-old female on apixaban falls at home and hits her head on a radiator. She has a 2 cm scalp laceration and a GCS of 15 with no neurological deficit. She takes apixaban 5 mg BD for AF. Her family says the last dose was taken 3 hours ago. Per NICE CG176, when should a CT head be performed?

Accepted Answer

Within 8 hours of the injury - all patients on anticoagulants with a head injury require CT head even with GCS 15

Answer

CT within 1 hour - but only if the patient loses consciousness

Answer

No CT is needed - the laceration is the only injury

Answer

CT is only required after 24 hours of observation

Answer

CT is only required if GCS falls below 15

uk-dipimc MCQ (SBA): Anticoagulated Head Injury - CT Timing

A 70-year-old female on apixaban falls at home and hits her head on a radiator. She has a 2 cm scalp laceration and a GCS of 15 with no neurological deficit. She takes apixaban 5 mg BD for AF. Her family says the last dose was taken 3 hours ago. Per NICE CG176, when should a CT head be performed?