ED

Question 1

GOBS-FV

Indications for urgent CT head

Answer 1

• GCS (<13 on initial assessment in ED OR < 15 at 2 hours after injury)
• Suspected open or depressed skull fracture.
• Any sign of basal skull fracture (haemotympanum, ‘panda’ eyes, CSF leakage from ear or nose, Battle’s sign).
• Post-traumatic seizure.
• Focal neurological deficit.
• > episode of vomiting

Question 2

FAST scans

Answer 2

Non-invasive test used in primary or secondary survey to quickly investigate the extent of free fluid or pneumothorax.