Test Your Knowledge of Closed Head Injuries (Postscript 1 of 4)

EBUC Postscripts
Management of Closed Head Injuries in Urgent Care | May 2022

Which of the following patients would be considered high risk in the setting of closed head injury, and should be strongly considered for emergent head CT and ED transfer?

A. A 34-year-old woman who is 30 weeks pregnant and is receiving treatment doses of enoxaparin for DVT

B. A 54-year-old man who is taking low-dose aspirin for cardiovascular prophylaxis

C. An 8-year-old child with hemophilia A 

D. All of the above

E. Both A and C

Answer: E. The patients described in A and C are both at high risk due to coagulopathy. Regarding the patient described in B, regular-dose aspirin (325 mg) is considered to be a high-risk factor in the setting of head trauma, but there is evidence that low-dose aspirin (81 mg) does not increase the risk of intracranial injury in mild closed head injury.

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