Letters NICE on early management of head injury

Need for immediate computed tomography in older people with coagulopathy and minor brain injury

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1967 (Published 07 March 2014) Cite this as: BMJ 2014;348:g1967
  1. Plutarco Chiquito-Lopez, senior education fellow in emergency medicine1,
  2. Oliver Bannon, consultant in emergency medicine1
  1. 1Belfast Health and Social Care Trust, Royal Victoria Hospital, Belfast BT12 6BA, UK
  1. plutarco.chiquito-lopez{at}belfasttrust.hscni.net

National Institute for Health and Care Excellence (NICE) head injury guidelines 2014 consider the use of warfarin alone as an indication for computed tomography (CT) of the head within eight hours of a minor brain injury (Glasgow coma scale >12). The guidelines exclude the use of antiplatelet agents as an indication for early imaging.1 2 However, NICE did not appraise the following publications on the use of clopidogrel in elderly people with a …

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