When do you obtain head and neck vascular imaging in patients with traumatic brain injury?  

When there are skull base fractures that could lead to a dissection, when there is penetrating or blunt neck injury, when it is unclear if the primary event was a brain hemorrhage with secondary TBI, or in the case of imaging that suggests a concomitant ischemic stroke. This is not an exhaustive lis...

Head and neck imaging depends on the mechanism of injury. From our experience, in a large neurotrauma center, the ED staff usually know what the neuro ICU/neurosurgery also want to know, and frequently get the imaging down in the ED, or we obtain it first thing during the short interval repeat stabi...