应使用气道、呼吸和循环（Airway, Breathing, Circulation, ABC）方法评估和稳定所有疑似创伤性脑损伤患者。
对于被确定为具有脑损伤危险因素（即颅内并发症）的患者，应进行紧急（1 小时内）计算机体层成像（computed tomographic, CT）头颅扫描。所有接受抗凝治疗且无紧急 CT 扫描适应证的患者都需要在颅脑外伤后 8 小时内进行扫描。
无 CT 扫描适应证或 CT 扫描正常的患者，如果家中有合适的人员提供监护，则可以从急诊科出院。
- 损伤后三十分钟或更长时间的格拉斯哥昏迷量表评分为 13-15 分，且出现一过性神经系统异常
- 头颅 CT
- 头部 MRI
- 颅骨 x 线检查
Matthew Jones, MD, FRCP
Greater Manchester Neurosciences Centre
Salford Royal Foundation Trust
MJ is an honorary senior lecturer at the University of Manchester.
MJ is the chair of the Association of British Neurologists Education Committee (unpaid position). MJ is a faculty member of an MRCP revision course.
BMJ Best Practice would like to gratefully acknowledge the previous team of expert contributors, whose work is retained in parts of the content:
Luke C. Henry, PhD
Department of Neurological Surgery
Senior Clinical Neuropsychologist
University of Pittsburgh
LCH declares that he has no competing interests.
Maria Twichell, MD
Assistant Clinical Professor
General Rehabilitation Unit
UPMC Physical Medicine and Rehabilitation
University of Pittsburgh Medical Center
MT declares that she has no competing interests.
Alan Carson, MB ChB, MPhil, MD, FRCPsych, FRCP
Honorary Professor of Neuropsychiatry
University of Edinburgh
AC is treasurer to the Functional Neurological Disorders Society. He is associate editor of the Journal of Neurology, Neurosurgery and Psychiatry, and has contributed to the Scottish Intercollegiate Guidelines Network concussion guidelines. He developed a free-access, not-for-profit self-help website for patients after mild brain injury (http://www.headinjurysymptoms.org). He has received travel and accommodation expenses, but not payments, from professional organisations for speaking at their educational meetings including talks on concussion and brain injury. He gives independent testimony in court on a range of neuropsychiatric topics including brain injury. AC contributed content to a concussion application still in development.
Section Editor, BMJ Best Practice
HDC declares that she has no competing interests.
Head of Editorial, BMJ Best Practice
AE declares that she has no competing interests.
Lead Section Editor, BMJ Best Practice
RW declares that she has no competing interests.
Comorbidities Editor, BMJ Best Practice
JC declares that she has no competing interests.
Drug Editor, BMJ Best Practice
AM declares that he has no competing interests.