Tuesday, June 8, 2010

Head Injury Advice Before Discharge...

When to come back

· Persistent vomiting (more than twice)

· Persistent drowsiness – unable to be woken up completely

· Confusion or disorientation or slurred speech

· Increased headache (not relieved by standard doses of paracetamol)

· Localized weakness or altered sensation or incoordination

· Blurred or double vision

· Seizure, fits or convulsions

· Neck stiffness



General advice following head injury


The patient should read and understand these instructions

· Rest comfortably at home in the company of a responsible adult for the next 12-24 hours

· Resume normal activity after feeling recovered

· Drink clear fluids and consume a light diet only for the first 6-12 hours (a normal diet may be commenced as desired after that). Avoid alcohol

· Mild pain killers (such as paracetamol) may be taken for headache as directed by the doctor

· Following head injury a small number of patients develop ongoing symptoms, such as recurrent mild headache, concentration difficulties, difficulty with complex tasks, mood disturbances, etc. If you notice such problems, consult your local doctor for appropriate referral

· Avoid exposures to activities that may create risk of further head injury within the next 2 weeks

· If you do not understand these instructions and advice, check with ED staff before your discharge or consult your local doctor

· If you require a MC, please informed staff

· Advice on post concussion sydrome


(from Adult Emergency Medicine 3rd ed.)

5 comments:

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