Head injury guideline

The adult trauma clinical practice guideline Initial Management of Closed Head Injury in Adults, 2nd Edition is one of four guidelines published by NSW ITIM. It consists of 5 documents:

Full report - the complete guideline including algorithms, discussions, tables of evidence, appendixes and references.

Summary report - contains algorithms and guidelines.

Algorithm 1 - A3 colour algorithm for Adult Closed Head Injuries.

Algorithm 2 - A3 colour algorithm for Adult Mild Closed Head Injuries.

Discharge advice - 2 page mild head injury discharge advice sheet.

Please note that this guideline is an attachment to the NSW Health Policy Directive PD2012_13 advising of the update to the second edition and to ensure that all Local Health Districts have protocols in place based on the key principles of the guideline.

Details

Author: Dr. Duncan Reed, Trauma Director, Gosford Hospital.

Published: November 2011

Clinical questions addressed:

  1. What is the definition of a mild head injury?
  2. What are the clinically important complications of mild head injury?
  3. How should patients with mild head injury be assessed?
  4. Which patients with mild head injury require a CT scan?
  5. What should be done with high risk mild head injury patients when CT scan is unavailable?
  6. What should be done when patients with mild head injury deteriorate?
  7. When can patients with mild head injury be safely discharged?
  8. What discharge advice should be provided?
  9. What are the proven treatments for patients with moderate head injury?
  10. What are the proven treatments for patients with severe head injury?
  11. When should patients with closed head injury be transferred to hospitals with neurosurgical facilities?
  12. What analgesia should patients with closed head injury receive?
  13. Which patients with closed head injury should receive anti-convulsants?

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