Head trauma

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1. emergency CT scan without contrast in:

    1. GCS<13

    2. GCS<14-13 if no cure in 1-2 hours

    3. base skull Fx sign and symptoms

    4. GCS<15 with severe constant headache, vomiting, 2 times seizure at least, penetrating Fx, focal neurological deficit

2. emergency CT in children if:

    1. >3 times vomit or seizure

    2. <1 y/o with GCS<15 or >1 y/o with GCS<14

    3. >1 hr of amnesia

    4. >5 cm sign of Fx or laceration

    5. >40 km/hr crash or >1 m fall