Management of Minor Traumatic Brain Injury in an ED Observation Unit

Matthew A. Wheatley, MD; Shikha Kapil, MD; Amanda Lewis, MSSc, PA-C; Jessica Walsh O'Sullivan, MD; Joshua Armentrout, MD; Tim P. Moran, PhD; Anwar Osborne, MD, MPM; Brooks L. Moore, MD; Bryan Morse, MD; Peter Rhee, MD; Faiz Ahmad, MD; Hany Atallah, MD


Western J Emerg Med. 2021;22(4):943-950. 

In This Article


Use of an EDOU to observe patients with minor traumatic hemorrhage as defined by the Brain Injury Guidelines classification was associated with significantly reduced length of stay and low overall incidence of adverse events. Care in the ED observation unit was also associated with fewer repeat head computed tomography and neurosurgical consultations. Further study is needed to determine predictors for inpatient conversion, follow-up needs, and ability of smaller, non-trauma centers to use this protocol.