Does the evidence justify routine transfer of residents of aged care facilities for CT scan after minor head trauma?
Lorne Green, Lucy Selleck, Michael Gibbons, Sharon Klim, Peter Ritchie, Rajesh Patel, Chris Chi Hong Phuc Pham, Anne-Maree Kelly
Internal Medicine Journal | WILEY | Published : 2020
OBJECTIVE: In 2014, the South Australian coroner recommended that residents of aged care facilities (RACF) who had sustained a head injury should be transported to emergency departments (ED) for assessment and a head CT scan, with the view to preventing mortality. The evidence base for the recommendation is unclear.The aim of this study was to determine the rate of emergent intervention (neurosurgery, transfusion of blood products or reversal of anticoagulation) in residents transferred to ED with minor head trauma who had their usual cognitive function on ED assessment. METHODS: This was a retrospective cohort study by medical records review at two university-affiliated community ED. Partic..View full abstract