ABSTRACT

The airway must be protected first, before a head CT is performed. Indications for CT head scan include: (a) GCS <13 on initial assessment (b) GCS 14 or less 2 h post injury (c) focal neurological deficit including hemiparesis, diplopia (d) neurological deterioration, i.e. 2 points or more on the GCS (e) post-traumatic seizure (f) coagulopathy (history of bleeding, clotting disorder, or

patient on warfarin or NOAC) (g) fracture known or suspected, including base of skull (h) penetrating injury, known or suspected.