Post-craniotomy complication concern: a new or worsening headache with nausea and increasing drowsiness, or new incision drainage/erythema — concerning for raised intracranial pressure, bleeding, or a surgical-site infection. The neuro exam and incision assessed, the neurosurgery service and the provider notified urgently, orders received (imaging/evaluation), the responsible party notified, and the resident placed on close neuro monitoring. Will reassess; supports the Section I update. Skilled recognition required, as a post-craniotomy neurologic change is an emergency.
Model abnormal 2
Post-fall head strike on an anticoagulant with deterioration: after a witnessed head strike (resident on apixaban), a new headache, one episode of vomiting, and increasing drowsiness — concerning for a delayed intracranial bleed. EMS activated/transfer per policy, the anticoagulant status communicated, the provider and responsible party notified, neuro status and time documented. Skilled recognition of the delayed bleed required. (The post-fall protocol routes to the Falls reference; anticoagulation to the Anticoagulation overlay.)
