Emergency Medicine Book


Management of Moderate Head Injury

Aka: Management of Moderate Head Injury, Moderate Head Injury, Moderate Head Trauma, Moderate Traumatic Brain Injury, Moderate Closed Head Injury
  1. See Also
    1. Head Injury
    2. Management of Mild Head Injury
    3. Management of Severe Head Injury
  2. Signs
    1. Glasgow Coma Scale: 9-12 (at two hours)
    2. Confused or somnolent
    3. Follows simple commands
  3. Evaluation: Initial
    1. Same as in Management of Mild Head Injury
    2. CT Head in all cases
    3. Admit all for observation (or Transfer to Neurosurgery)
  4. Evaluation: Inpatient Monitoring
    1. Frequent neurologic checks
    2. Follow-up CT Head in 12-24 hours
      1. Condition deteriorates or
      2. First CT abnormal or
      3. Per local protocol before discharge
  5. Disposition
    1. Patient improves (80-90%)
      1. Discharge after 48 hours
      2. Follow-up clinic
    2. Patient deteriorates (10-20%): Not following commands
      1. Repeat CT Head
      2. Follow Management of Severe Head Injury protocol

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree