Lightning Learning: Neurological Observations in Head Injury

Lightning Learning: Neurological Observations in Head Injury

Neurological observations must be performed on all patients with a head injury to recognise deterioration and monitor progress.
— advice is based on local guidelines & procedures

What?

Neurological observations must be performed on all patients with a head injury. Aims to recognise deterioration and monitor progress.

UHL Adult Mental Health Triage Form - Neurological Observations Chart (Page 12).jpg

Observations must include:

  • GCS

  • Pupil size + reactivity

  • Limb movements

  • Respiratory Rate

  • Blood pressure

  • Temperature

  • Oxygen Saturations

Why?

Frequency and timing of observations are important and should follow NICE guidance.

If GCS is <15: observations every 30 mins until GCS is 15

If GCS is =15: observations every 30 mins for 2 hours; then… every 1 hour for 4 hours; then… every 2 hours thereafter.

If any deterioration occurs then revert to half hourly observations and start the protocol again.

Further Reading

Don't Be A Dipstick!

Don't Be A Dipstick!

PEM Updates

PEM Updates