Not every trauma patient with a radiographic head injury requires transfer for neurosurgical evaluation: Application of the brain injury guidelines to patients transferred to a level 1 trauma center

Joseph, 2014, The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons, J Trauma Acute Care Surg, 76, 965, 10.1097/TA.0000000000000161 Joseph, 2014, Prospective validation of the brain injury guidelines: managing traumatic brain injury without neurosurgical consultation, J Trauma Acute Care Surg, 77, 984, 10.1097/TA.0000000000000428 Ditty, 2015, The nonsurgical nature of patients with subarachnoid or intraparenchymal hemorrhage associated with mild traumatic brain injury, J Neurosurg, 123, 649, 10.3171/2014.10.JNS132713 Carlson, 2010, Low rate of delayed deterioration requiring surgical treatment in patients transferred to a tertiary care center for mild traumatic brain injury, Neurosurg Focus, 29, 10.3171/2010.8.FOCUS10182 Levy, 2014, Outcomes of a nontransfer protocol for mild traumatic brain injury with abnormal head computed tomography in a rural hospital setting, World Neurosurg, 82, e319, 10.1016/j.wneu.2013.11.008 Newgard, 2007, Secondary triage: early identification of high-risk trauma patients presenting to non-tertiary hospitals, Prehosp Emerg Care, 11, 154, 10.1080/10903120701205778