: Re: Concussions and the hospital procedures regarding them I'm including a scene near the beginning of my novel that involves a small car accident. The character was not the driver, but in the accident,

@Caterina108

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You may want to consider, How real do I want to make it?

There is a great deal of debate right now in concussions which is probably why you're not getting straight answers from medical blog sites. In particular, post-concussive syndromes are being taken with grave concern in American sports, but when I was a kid, it just meant you got your bell rung.

From a fiction perspective, head injuries are often used to create lost memories which are later recovered. This is not the way it happens, and is terribly pedantic, but writers do it anyway and sometimes successfully.

Are you aiming for Michael Creighton? He was an MD. Good luck. Also, the quality and theory behind legitimate medical care will vary widely from country to country and even among socioeconomic classes within the same community.

Basically it looks like this:

1) EMTs: Are you hurt? Are you bleeding? Do you know where you are? etc. They'll take vital signs. They might place the patient on a backboard for transportation, but it kind of depends on the condition they find the victim in: prone on the back versus walking around with hands on head.

2) At the hospital, the same questions will get asked. A secondary exam should include a head-to-toe inspection for injuries, and then the patient will go to a CT scanner to look for blood or swelling in the brain or cracks in the skull.

3) If the CT scan shows no obvious damage, the patient will be discharged with some instructions and probably set up to see a neurologist as an outpatient.

4) If there is obvious damage, a neurologist and neurosurgeon will be called immediately, and the patient will go to a brain injury unit following a corrective procedure.

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