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It's not unusual for a small hospital to not have neurosurgery coverage. Neurology coverage may be spotty too. So who does the clinical neurology assessment? NP PA ER doc?? I would consider mentioning that your assessment of mBIG is based on the initial ...
Thank you all for your responses and questions: 1) we do not have neurosurgery at our hospital. 2) the goal is to keep patients from having to be transferred. My understanding is there is big money (for a small hospital) in having a trauma ...
I read neuro for a level 1 trauma center and multiple smaller sites. We use a modified BIG score. The laudable goal is to minimize unnecessary consults and transfers. I do think the evidence is limited, and the imaging portion of the score has some ambiguity. ...