Clinical Case Database / Category: Patient Management

Can this adult who has sustained a head injury go home?

Publication details

Elizabeth Gillott, Ashis Banerjee
Foundation Years Journal, volume 3, issue 10, p.38 (123Doc Education, London, December 2009)


A 24-year-old man attended his local A&E department in the early hours of the morning after being assaulted. He was accompanied by his friend who had witnessed the incident. They gave a history of the patient being attacked while leaving a pub. He was knocked to the ground and received repeated blows to the face and head. His GCS was 14/15 on arrival in the A&E department. Prior to the assault, he was fit and well and was not taking any medication, prescribed or otherwise.

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Elizabeth Gillott

F2 doctor in emergency medicine
Chase Farm Hospital
The Ridgeway
Enfield, EN2 8JL

Ashis Banerjee

Consultant/honorary senior lecturer in emergency medicine
Chase Farm Hospital
The Ridgeway
Enfield, EN2 8JL


1.  Wyatt JP, Illingworth RN, Graham CA, et al. (2006) Oxford Handbook of Emergency Medicine, 3rd edition. London: Oxford. p. 359.

2.  National Institute for Health and Clinical Excellence (NICE) (2007) CG56 Head Injury: NICE Guideline Guidance/pdf/English.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.