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Guideline adherence in head trauma is crucial, but this case highlights the dangers of reflexively applying rules. A patient with a contrecoup injury slipped through the cracks of standard protocols, underscoring the need for clinical judgment.
The Canadian CT Head Rule (CCHR) aims to reduce unnecessary imaging, but a concerning number of traumatic subarachnoid hemorrhages (tSAH) are missed by its strict criteria. This case highlights a contrecoup injury evading detection, raising questions about ...