Trip, Slip, Scan? Rethinking Head CTs in the Elderly

Trip, Slip, Scan? Rethinking Head CTs in the Elderly

From TamingtheSRU by UC Department of Emergency Medicine

December 15, 2025 · 8 min

About this episode

Dr. Snyder explores the necessity of head CTs for well-appearing elderly patients after ground-level falls.

Ground-level falls are a leading reason older adults get head CTs in the ER, largely because current rules treat age > 65 as a risk factor by itself. Yet many emergency physicians question whether that’s always necessary for well-appearing patients. A new systematic review and meta-analysis in Annals of Emergency Medicine digs deeper, asking: what other factors truly predict intracranial hemorrhage after ground-level falls? Join Dr. Snyder as she explores the findings, limitations, and what they mean for everyday practice.

People in this episode

Host: Dr. Snyder

Topics covered

  • head CTs
  • elderly care
  • intracranial hemorrhage
  • ground-level falls
  • emergency medicine

Keywords

  • head CT
  • elderly
  • ground-level falls
  • intracranial hemorrhage
  • emergency medicine
  • systematic review
  • meta-analysis

Mentioned in this episode

Organizations: Annals of Emergency Medicine

Places: ER

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