ABSTRACT
History An 81-year-old woman is bought into the accident and emergency department by ambulance from a local nursing home. As a long-term resident of the home she is an active participant in daily activities, and is usually self-caring and independent. Yesterday evening, she sustained a witnessed mechanical fall, tripping over the walking stick of another resident. Despite a small graze to the right side of the head, there was no loss of consciousness and the patient reassured care home staff that she was fine. An incident report was filed. During the night the patient took paracetamol for pain control of a headache but no further action was taken.
