Signs of basiler skull fracture
>2 years?
Meets discharge criteria?
Meets discharge criteria?
< 3 months?
Meets discharge criteria?
Worsening signs/symptoms during 2 - 6 hour observation?
Consider admission and neurology consult
Consult neurosurgery if appropriate
Consider admission and neurology consult
1 or more factors present?
Evaluate secondary factors:
Discharge with PMD follow up within 24 hours
Consider neurology or neurosurgery consult
Discharge with PMD follow up within 24 hours
Evaluate secondary factors:
Severe mechanism
Discharge criteria
1 or more factors present?
Signs of altered mental status
Common mechanisms
CT or MRI neuroimaging
Worsening signs/symptoms during 2 - 6 hour observation?