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...Place patient label here surname nhi first names yes no date of birth sex minor head injury gcs time clinician np cns hs reg smo history and presenting complaint mechanism beware injuries caused by weapon e g baseball bat or hammer high risk for skull loc amnesia retrograde anterograde headache seizure nausea vomiting medicine notes visual dizziness remember to investigate the cause collapse if that tinnitus new preceded medical nil relevant previous concussion emergency medication allergies regular anticoagulants warfarin dabigatran clopidogrel other rivaroxaban aspirin known functional social hx independent smoker smoking non ivdu etoh occupation living situation be discharged in care a responsible adult b sfv completed document on nursing assessment sheet radiology vital signs bp mmhg resp rate min pain score within normal limits pulse bpm spo temp air hudson l general not distressed none mild moderate severe intoxicated examination cvs warm well perfused pulses heart sounds respira...