By rray, 30 October, 2023 Head CT or MRI recommended Subacute 8 to 30 days after initial trauma Pts w change in neuro status are at high risk for progressive intracranial injury and may require neurosurgical intervention
By rray, 30 October, 2023 Consider CTA if clinical suspicion for vascular injury or imaging findings such as fx through the skull base or vascular channels
By rray, 30 October, 2023 CT advantages rapid acquisition excellent sensitivity for traumatic injuries e g herniation hemorrhage which benefit from prompt intervention
By rray, 30 October, 2023 Moderate and severe head injury is typically associated w post traumatic mental status changes
By rray, 30 October, 2023 Head CT w o IV contrast recommended due to greater incidence of intracranial injury in pts w decreased GCS
By rray, 30 October, 2023 Child 2 yo w high risk GCS 14 other signs of altered mental status or signs of a basilar skull fx Risk 4 3