Case Two (August 4, 2013): Initial Presentation

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This is a case involving an 81 year-old male patient s/p fall with forehead abrasion and contusion. There are no neurologic deficits. A CT scan in the ER (no formal reading found in chart) is stated in ER records to have areas suspicious for tiny hemorrhagic contusions. A bleeding time is performed 6.5 hours post-admission and is elevated (11.0 minutes; N: 4-9 minutes).

Does this patient require a blood component transfusion? Do you have any comments about the management of this patient as documented in the presenting information?