347 A Bit of a Headache: Management of Head Injuries in a District General Hospital

Abstract Aim Head Injury is a common presentation in our DGH, which covers large rural area and now regional trauma centre. We audited management of head injuries against current guidelines planned new pathway to ensure patients receive the correct advice follow up on discharge. Method Data was requested from IT for all injury episodes 2019, reflect usual numbers pre-pandemic. Electronic letters, radiology notes were used identify whether imaging criteria met/carried out, discharge destinations, re-presentations, specialty discussions, Results 307 individual identified. 13 re-presentations. 10 required neurosurgical discussions Destinations 226 (73.6%) discharged direct ED. Admissions: Surgical - 37 (12%), Medical 6 (2%), Paeds – 14 (4.5%), ITU 2 (0.7%), Did not wait Not Recorded 7 (2.3%) Imaging 100 met NICE CT, 100% documented had CT. 76% reported normal, 18% bleed, contusion, or haematoma. HI 90% ED discharges, 16% medical discharges Conclusions Guidelines requiring imaging. well but fell down ward paperwork. have written robust where inpatients proforma completed during admission with prompts rehab referral appropriate, this currently undergoing re-audit improvement if successful will become an established part hospital.