Transfer to neurosurgical center

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At the hospital, he had a GCS score of 15, and had short range (few hours) 
retrograde and antegrade amnesia (he could tell he was in a hospital, but 
know how he got there or what happened. He neither remebered any of the 
events in the few hours before the incident). He was sleepy, shievering and 
cold (it wasn't very cold there), and kept complaining about weakness.
At the scene it was just the same, since he woke up the first time. He was 
vomiting a lot and too weak to stand up.

>From: "Ronald Gross" <rgross at harthosp.org>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: <trauma-list at trauma.org>
>Subject: Re: Transfer to neurosurgical center
>Date: Sun, 05 Nov 2006 14:03:36 -0500
>
>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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