• GCS score, 15 at two hours after injury
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• Headache
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• Suspected open or depressed skull fracture
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• Vomiting
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• Any sign of basal skull fracture (hemotympanum, “panda” eyes, cerebrospinal fluid otorrhoea, Battle’s sign).
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• Older than 60 years
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• Vomiting more than once
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• Drug or alcohol intoxication
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• Age >65 years
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• Persistent anterograde amnesia (deficits in short-term memory)
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Medium risk (for brain injury on CT)
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• Persistent retrograde amnesia of greater than 30 minutes
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• Visible trauma above the clavicle
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• Dangerous mechanism of injury (pedestrian struck by vehicle, ejection from vehicle, fall from greater than three feet or five stairs) |
• Seizure |