1993-2018 ,u ,p vkj lh % iPphl o’kZ&vla[; vk’kk,a Nhrc : Twenty Five Years-billion Hopes . . and amnesia) of concern to the clinician Drug or alcohol intoxication, other injuries, shock, suspected nonaccidental injury, meningism, cerebrospinal luid leak where a scalp laceration overlies a fracture, or the person's age) When there is no responsible family member, caregiver or close friend under whose care the person could be discharged. 'Mild' head injuries with symptoms such as headache, photophobia, nausea and vomiting, or amnesia requiring management. 60. What are the discharge or follow up criteria in cases of head injury? The patient can be discharged with the follow up advice, if, any of the following are present (reference as mentioned in previous query) 1.If CT is not indicated on the basis of history and examination, as long as no other factors that would warrant a hospital admission are present (drug or alcohol intoxication, concomitant injuries, shock, suspected non-accidental injury, meningism, cerebrospinal luid leak) and there are appropriate support structures for safe transfer to the community and for subsequent care (competent supervision at home). 2.After normal imaging of the head and the patient has returned to GCS equal to 15, as long as no other factors that would warrant a hospital admission are present and there are appropriate support structures for safe transfer to the community and for subsequent care (competent supervision at home/prison). 3.After normal imaging of the cervical spine and as long as the patient has returned to GCS equal to 15 and their clinical examination is normal, and no other factors that would warrant a hospital admission are present and there are appropriate support structures for safe transfer to the community and for subsequent care (competent supervision at home/prison). 4.Do not discharge patients presenting with head injury until they have achieved GCS equal to 15, or normal consciousness in infants and young children as assessed by the paediatric version of the GCS. 5.All patients with any degree of head injury should only be transferred to their home/prison if it is certain that there is somebody suitable at home to supervise the patient. FORENSIC INVESTIGATION | 49