Sun28November0333PM 49

Is it true or false that the National Institute for Health and Care Excellence (NICE) criteria for requesting an immediate CT head scan in a adult with a head injury include the following?

True / False

Extensive scalp laceration Correct

Glasgow coma score <15 when assessed in the Emergency department two hours after injury Correct

Glasgow coma score 12 when first assessed in the Emergency department Correct

Episodes of vomiting Incorrect answer selected

Unilateral haemotympanum Correct

Explanation

NICE criteria for immediately requesting a CT head include:

GCS <13 when first assessed in Emergency department

GCS <15 when assessed in Emergency department two hours after the injury

Suspected open or depressed skull fracture

Sign of fracture at skull base (haemotympanum, 'panda' eyes, cerebrospinal fluid leakage from ears or nose, Battle's sign)

Post-traumatic seizure

Focal neurological deficit, and

1 episode of vomiting.

Reference:

NICE. Head injury: assessment and early management (CG176).

Answer Statistics

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Average score: 85.81%

Times answered: 258