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Wheelie @100 mph: heparin heads

caesar ursic trauma-list@trauma.org
Wed, 11 Jun 2003 09:12:27 -0700 (PDT)


> > One can argue that
> > this patient did not have any loss of
> consciousness and therefore CT
> > of the head is not indicated.
> 
> But that argument would be questionable if the
> patient went on and 
> developed a delayed intracranial hemorrhage
> (especially if they were 
> placed on DVT prophylaxis).  I have recently been
> asked to evaluate 
> several malpractice suits based on this.
> Best,
> Bob

Are you suggesting that ALL blunt trauma patients need
a screening head CT, irrespective of their history of
loss of consciousness and their neurological exam,
simply because they will be given heparin for DVT
prophylaxis?  That's an awful lot of head CTs...

C.M. Ursic, M.D.
Dept. of Surgery
UCSF-East Bay
Oakland, California


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