The ABC of community emergency care

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  • [View PDF] - Kernig�s sign for meningeal irritation
    The hip is flexed with the knee also flexed (A). As the knee is straightened the patient complains of pain in the back or neck. It may not be possible to straighten the knee as much as in (B).
  • [View PDF] - Glasgow Coma Scale

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  1. doi: 10.1136/emj.2003.013524 Emerg Med J 1 March 2004 vol. 21 no. 2 216-225
  1. Web-only Appendices

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Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study