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Open Access Commentary

New guidelines for the initial management of head injury

Carolyn M Benson* and G Bryan Young

Author affiliations

Department of Clinical Neurological Sciences, London Health Sciences Center, University Campus, 339 Windermere Road, London ON, N6A 5A5, Canada

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Citation and License

BMC Medicine 2013, 11:51  doi:10.1186/1741-7015-11-51


See related research article here http://www.biomedcentral.com/1741-7015/11/50

Published: 25 February 2013

Abstract

The majority of patients presenting with mild head trauma will have no intracranial pathology and can be safely discharged home. It is estimated that 10% to 15% of these patients will have clinically significant findings on computed tomography imaging and up to 1% may require neurosurgical intervention. The revised Scandinavian Head Trauma Guidelines provide an evidence- and consensus-based algorithm to assist physicians in determining which patients presenting with minimal, mild or moderate blunt head injury are at higher risk for intracranial pathology and thus require neuroimaging and hospital admission. Striking a balance between health care costs and risk of morbidity remains an ongoing challenge and we will present our concerns with this useful, but conservative management algorithm.

Keywords:
admission criteria; CT guidelines; head trauma