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Sun Nov 5 19:03:36 GMT 2006

OK - you need to give us more.  What was the kid's GCS at the hospital? 
Was he awake at the scene - I mean awake and alert other than the
amnesia?  That will help determine if transfer is appropriate.

>>> "oded private" <tangentcarrot at hotmail.com> 11/04/06 2:12 PM >>>
Well, we got to the nearest hospital, which is  has no nerosurgical 
capabilities. The pateint is attended by a physician (general surgeon?) 
about 10 min later. In that point, his brother was told by an eye
witness 
that he was defiently struck.The pateint later starts to complain about 
local pain in the back of the head which feels like he was struck there.
 It 
takes over an hour since arrival for a nuerologist to attend him. All
along 
he is shivering, and continues to have amnesia.
Second dilema- should such a patient  immediatly be a candidate for
transfer 
to neurosurgical center? (in that time of the day, an ambulace could
take 
him to a neurosurgical center in ~10-15 min)

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Transfer to neurosurgical center