Although GCS is an important clinical
tool which is routinely used for assessment and monitoring of
TBI patients for clinical deterioration, categorization of
patients as mild TBI based on GCS carries a low risk (1%)
of life-threatening intracranial haemorrhage requiring an
emergency neurosurgical intervention [3, 4]. The standard
management plan for these patients consists of a neurosurgical
consultation, period of observation or admission and
repeat imaging [3, 5–7]. However, there is only a sub-set of
patients that have radiographic progression on repeat head
computed tomography (RHCT) or that benefit from an
emergent neurosurgical intervention.