Yes, it's standard for all injuries where the mechanism/history is consistent or reasonable risk for TBI, the spectrum of which includes concussion (no bleeding in brain, but loss of consciousness and/or symptoms) and the various kinds of brain bleeds: subdural, epidural, subarachnoid, and intraparenchymal hematomas/hemorrhages.
Basically, if you hit your head and pass out, or the mechanism of injury is with enough force (a car crash, for example), or you're older (brains shrink and rattle more in the skull, increasing risk of bleeding) or on blood thinners, we scan your brain. Plus other reasons I'm not remembering right now.
If it's negative for bleeding inside the skull, then you can be observed, either in the hospital if severe concussion or at home with people if less so.
But if there is bleeding, you often get serial scans or admitted for close observation and neuro checks. There are scales and such for treatment protocols depending on various factors, but that's the general case. Some kinds/extents of bleeding in the brain requires surgery. All traumatic bleeding in the brain (according to most US protocols, probably global as well) gets a week of seizure preventing medications, as well. Trauma centers will often check coagulation studies and correct any blood clotting problems to help prevent the bleeding from continuing.
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branchandroot
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Date: 2023-07-25 01:32 am (UTC)Basically, if you hit your head and pass out, or the mechanism of injury is with enough force (a car crash, for example), or you're older (brains shrink and rattle more in the skull, increasing risk of bleeding) or on blood thinners, we scan your brain. Plus other reasons I'm not remembering right now.
If it's negative for bleeding inside the skull, then you can be observed, either in the hospital if severe concussion or at home with people if less so.
But if there is bleeding, you often get serial scans or admitted for close observation and neuro checks. There are scales and such for treatment protocols depending on various factors, but that's the general case. Some kinds/extents of bleeding in the brain requires surgery. All traumatic bleeding in the brain (according to most US protocols, probably global as well) gets a week of seizure preventing medications, as well. Trauma centers will often check coagulation studies and correct any blood clotting problems to help prevent the bleeding from continuing.