Surveillance decision

Surveillance decision

We will not update the guideline on head injury at this time.

During surveillance editorial or factual corrections were identified. Details are included in appendix A: summary of evidence from surveillance.

Reason for the decision

Assessing the evidence

We found 100 studies through surveillance of this guideline.

This included evidence that is consistent with current recommendations relating to:

  • pre-hospital assessment, advice and referral to hospital

  • immediate management at the scene and transport to hospital

  • assessment in the emergency department

  • investigating clinically important brain injuries

  • transfer from hospital to a neuroscience unit

  • admission and observation

  • discharge and follow-up.

We did not find any evidence on:

  • investigating injuries to the cervical spine

  • information and support for families and carers.

We did not find any evidence in areas not covered by the original guideline.


No equalities issues were identified during the surveillance process.

Overall decision

After considering all the evidence and views of topic experts and stakeholders, we decided that no update is necessary for this guideline.

See how we made the decision for further information.

This page was last updated: 11 May 2017