Lightning Learning: Neurological Observations in Head Injury
Neurological observations must be performed on all patients with a head injury. Aims to recognise deterioration and monitor progress.
Observations must include:
Pupil size + reactivity
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.