Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

Unresponsive After MVC


Consult Page

STAT MVC trauma, 2Y with GCS3

Initial Imaging

Figure 4.1, Axial head CT without contrast demonstrates a minimally displaced left frontal fracture (A) without evidence of large intracranial hemorrhage (B, C).

Walking Thoughts

  • ■

    What is the patient’s current neurological exam? Is the patient intubated?

  • ■

    Why is the patient’s GCS so poor? Is the patient currently paralyzed or sedated?

  • ■

    Do the imaging findings explain the physical exam findings?

  • ■

    Does the patient have any other injuries?

  • ■

    Does the patient have any lab abnormalities that can explain his poor GCS?

  • ■

    What immediate steps need to be taken to medically optimize the patient?

  • ■

    Is family present?

  • ■

    What, if any, surgical interventions could improve outcome or management?

  • ■

    Does the patient need additional imaging?

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