Investigating head injury (summary)

Changed by Derek Smith, 10 Nov 2016

Updates to Article Attributes

Title was changed:
Investigation of head injury (basic(fundamentals)
Body was changed:

Head injuries are common: in the US there are 1.3 million traumatic brain injuries per year 1. Common causes include falls (children and the elderly), motor vehicle accidents (adults) 1, or direct trauma from an object, assault or inflicted injuries (paediatric patients).

Assessment

Initial assessment by history of examination is key to accurate diagnosis:

  • mechanism of injury?
  • GCS?
  • been unconscious?
  • protecting their airway?
  • safe to leave their current environment?

Investigation

In head injury, the most useful investigation is a CT head. This is a non-contrast examination of the head (from vertex to palate) and is useful for the detection of fractures and intracranial haemorrhage.

Making the request

The information about the cause of head injury and clinical state of the patient is important when making a request. The radiologists wants to hear information to answer these questions:

  • does a CT need to be done?
  • does it need to be done urgently?
  • is the patient safe to come to CT?

Common pathology

Teaching playlist
  • -<li><a href="/articles/skull-fractures-basic">skull fractures</a></li>
  • +<li><a href="/articles/skull-fractures-summary">skull fractures</a></li>
  • -<li><a href="/articles/subdural-haemorrhage-basic">subdural haemorrhage</a></li>
  • -<li><a href="/articles/subarachnoid-haemorrhage-basic">subarachnoid haemorrhage</a></li>
  • +<li><a href="/articles/subdural-haemorrhage-summary">subdural haemorrhage</a></li>
  • +<li><a href="/articles/subarachnoid-haemorrhage-summary">subarachnoid haemorrhage</a></li>

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