Naunheim R, Covassin T, Jacquin A, Hanley D, Michelson E.
American Journal of Emergency Medicine. 2018; 36(1):142-143
The overall number of Emergency Departments (ED) visits from 2006 to 2010 reportedly increased by 3.6%, during which time visits for Traumatic Brain Injury (TBI) increased by 29.1% . This sharp in-crease reflects heightened awareness about TBI, which is expected to drive this number even higher in the future . Further, 95% of all head-injured patients who visit the ED present with mild symptoms .
Currently, Computerized Tomography (CT) is the accepted gold standard for identifying acute intracranial injuries in the ED. Although the vast majority of head injured patients receive a CT scan, over 90%are found to be CT negative [3,4]. Standard clinical practice in the ED does not include assessment of functional brain injury or concussion in patients found to be CT−.Early identification of mild TBI/concussion is associated with lower risk of re-injury, reduced morbidity and im-proved outcomes . The identification of mTBI/concussed patients and their ED discharge referrals could be greatly aided by accurate, objective, quantitative information about brain function status . Download the PDF.