Head injury guideline
The adult trauma clinical practice guideline Initial Management of Closed Head Injury in Adults, Second Edition is one of four guidelines published by NSW ITIM. It consists of five documents:
Full report - the complete guideline including algorithms, discussions, tables of evidence, appendices and references.
Summary report - contains algorithms and guidelines.
Algorithm 1 - A3 colour algorithm for adult closed head injuries.
Algorithm 2 - A3 colour algorithm for adult mild closed head injuries.
Discharge advice - two page mild head injury discharge advice sheet.
Published: November 2011
Clinical questions addressed:
- What is the definition of a mild head injury?
- What are the clinically-important complications of mild head injury?
- How should patients with mild head injury be assessed?
- Which patients with mild head injury require a CT scan?
- What should be done with high-risk mild head injury patients when CT scan is unavailable?
- What should be done when patients with mild head injury deteriorate?
- When can patients with mild head injury be safely discharged?
- What discharge advice should be provided?
- What are the proven treatments for patients with moderate head injury?
- What are the proven treatments for patients with severe head injury?
- When should patients with closed head injury be transferred to hospitals with neurosurgical facilities?
- What analgesia should patients with closed head injury receive?
- Which patients with closed head injury should receive anti-convulsants?