St. Emlyn´s - By Thomas Shanahan - May 22, 2023
What is the bottom line?
Professor Fiona Lecky, topic advisor for the NICE committee provided a useful summary of what as clinicians we need to know:
- An IV TXA bolus within 2 hours of injury can be considered life-saving in people with suspected moderate or severe traumatic brain injury – even when no extracranial bleeding event is evident.
- Shared decision-making can now inform a decision not to conduct a CT head scan in people taking anticoagulant or antiplatelet medication (not aspirin monotherapy) if there are no signs or symptoms of traumatic brain injury.
- Evidence suggests that even apparently mild head injury can lead to significant long-term consequences such as hypopituitarism.