Instructions
You are an intern on the neurosurgery ward. Albert Marlowe, 82, on apixaban, fell five weeks ago and over two weeks became confused and unsteady with left arm weakness. His CT is reported. The neurosurgeon recommends burr-hole drainage. Albert lacks capacity; his son Dennis is his person responsible.
Explain the CT result to Dennis and seek his consent for burr-hole drainage
- You do not need to take a history or examine the patient
CT head
Right chronic subdural haematoma, 20 mm; midline shift 7 mm. No acute blood.
Plan so far
Apixaban stopped; reversal given. INR and platelets normal.