What are the management instructions for patients with a concussion and normal Computed Tomography (CT) of the head and neck?

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From the Guidelines

Patients with a concussion and normal CT scans of the head and neck should follow a gradual return to normal activities while monitoring symptoms, as supported by the most recent and highest quality study 1.

Key Recommendations

  • For the first 24-48 hours, rest is recommended with limited physical and cognitive exertion.
  • Acetaminophen (Tylenol) 650mg every 6 hours as needed is preferred for headache pain; avoid NSAIDs like ibuprofen and aspirin initially due to bleeding risk.
  • After the initial rest period, patients should gradually resume normal activities as tolerated, stopping if symptoms worsen.
  • Sleep in a dark, quiet room is important for recovery.
  • Patients should not drive, operate heavy machinery, consume alcohol, or take sedating medications during recovery.
  • They should return to medical care immediately if experiencing worsening headache, repeated vomiting, increasing confusion, slurred speech, weakness/numbness, seizures, or unusual behavior.

Considerations for Anticoagulated Patients

  • The risk of delayed intracranial hemorrhage (ICH) in anticoagulated patients with a normal initial head CT scan is low, and most studies support safe discharge with clear instructions for return precautions 1.
  • However, patients on anticoagulants or antiplatelet agents should be closely monitored, and the decision to discharge should be made on a case-by-case basis.

Follow-up and Recovery

  • Most concussion symptoms resolve within 7-10 days, though some patients may experience symptoms for weeks or months.
  • Follow-up with a healthcare provider is recommended within 1-2 weeks to assess recovery progress.
  • Patients should be informed about the possibility of postconcussive symptoms and the importance of follow-up care 1.

From the Research

Concussion Management Instructions

For patients with a normal CT head and neck, the following instructions can be provided:

  • Patients should be educated on how to manage their symptoms, including headaches, dizziness, sleep disturbance, psychiatric symptoms, and cognitive issues 2
  • For acute postconcussive headaches, analgesics such as ibuprofen and acetaminophen can be used for short-term headache relief 3, 4
  • However, clinicians should be cautious with long-term medication overuse in patients whose headache symptoms persist 4
  • Patients should be instructed on how to use a headache diary to track their symptoms and monitor their progress 3

Medication Management

  • Ibuprofen and acetaminophen can be used to manage postconcussive headaches, but their effectiveness in reducing headache days and intensity may vary 3, 4
  • Metoclopramide, physiologic saline, and nonsteroidal anti-inflammatory agents (NSAIDS) are commonly used treatments for refractory post-concussion headaches in the emergency department 5
  • However, the effectiveness of these treatments is not well established, and further research is needed to determine the best course of treatment 5

Follow-up Care

  • Patients with a normal CT head and neck should be followed up to monitor their symptoms and adjust their treatment plan as needed 2
  • Patients with persistent or severe symptoms may require further evaluation and treatment, including referral to a specialist 6
  • Patients with a Glasgow Coma Scale (GCS) score < or =8 may require routine repeat head CT scans to monitor for any changes in their condition 6

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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