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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Travel After Skull Injury And Bleeding In Brain?

my friend has had a bad fall down a flight of 14 steps, he has a cracked skull and some bleeding on the brain, He was taken to hospital by ambulance, This happened 4 days ago, He was told that he can be discharged and can fly back to South Africa as soon as he wants to. He is still vomiting and confused, - is this safe
Sat, 19 Jul 2014
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Emergency Medicine Specialist 's  Response
Traumatic brain injury.
Needs observation till resolution of bleed or hematoma.
Even discharged vomiting and confusion are not a good signs. To be decided whether really signs of intra cranial hypertension are still persisting secondary to hematoma or whether is resolving or expanding and to take a decision accordingly for a repeat ct brain.
Traveling is very unsafe at this stage.
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Is It Safe To Travel After Skull Injury And Bleeding In Brain?

Traumatic brain injury. Needs observation till resolution of bleed or hematoma. Even discharged vomiting and confusion are not a good signs. To be decided whether really signs of intra cranial hypertension are still persisting secondary to hematoma or whether is resolving or expanding and to take a decision accordingly for a repeat ct brain. Traveling is very unsafe at this stage.