Episode
"BIG" Solutions: Disposition of Brain Injured Patients in the ED with Dr. Brian Lahiffe
- Podcast
- TRAUMA-ING
- Published
- May 26, 2026
- Duration seconds
- 1584
- Processing state
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Summary
In this episode, James Gould and Rob Green sit down with Dr. Brian Lahiffe to discuss the Modified Brain Injury Guidelines (mBIG) — a risk stratification tool that is changing how emergency physicians disposition patients with mild traumatic brain injury and intracranial hemorrhage on CT. Dr. Lahiffe walks us through the three-tiered mBIG framework, how it guides decisions around neurosurgical consultation, repeat imaging, and safe discharge, and the important caveats that apply — including anticoagulation and antiplatelet use. The conversation covers practical, real-world application of mBIG in the ED so you can approach your next head injury with clarity and confidence. Go to www.trauma-ing.com for more FOAM stuff on trauma