One More Look at Head Injury Presentations in Urgent Care

In this issue, we’ve offered an urgent care perspective on which patients presenting with head injury are most likely to require a scan, and shared insights into one urgent care center’s efforts to get a handle on which pediatric patients with head injury really need to be transferred to the emergency room. The fact is that the CT scan remains the standard for assessing for traumatic brain injury. The question that remains is, what’s next? …

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Understanding Clinical Decision Rules Regarding Minor Traumatic Brain Injury

Understanding Clinical Decision Rules Regarding Minor Traumatic Brain Injury

Urgent message: Patients with minor traumatic brain injury can be difficult to assess. Identifying those at risk for poor outcomes is critically important in the urgent care setting. Joseph Toscano, MD The term traumatic brain injury (TBI) describes various injury patterns that result from force being absorbed by the brain after a rapid acceleration or deceleration or head impact. TBIs can span a spectrum from minor changes to fatal catastrophes and can affect patients in …

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