All stations
Trauma
Intermediate
11 minute station

Elderly Fall With Head Injury on Anticoagulants

Dispatch

Cat 2 — 82-year-old female, fall down stairs, head laceration, takes warfarin for AF.

On arrival

Patient found at bottom of stairs by neighbour, scalp laceration bleeding, brief loss of consciousness reported, now GCS 14 and confused about the fall.

Initial observations

Airway
Patent
RR
20
SpO2
95% on air
Pulse
92 irregular
BP
158/88 mmHg
GCS
14 (E4 V4 M6)
Pupils
Equal and reactive, 3mm