Isolated intoxicated head injury presentations- are we managing it well?

Intoxicated head injury constitutes a significant proportion of Emergency Department presentations throughout the United Kingdom. The presentation can be widely varied from isolated head injury to the multiply injured patient with co-existing head injury. As a result, the presentation can range from the inebriated walking patient to the patient brought in by ambulance with a standby-call in to the Department. In several Emergency departments across the United Kingdom have an ambulatory care unit where the patient with isolated inebriated head injury without any neurological deficit (and no acute findings on CT imaging) is admitted for neurological observations. In the presence of distracting head injuries, it is important to exclude the presence of any additional injuries. In this article, our main aim is to discuss isolated head injuries secondary to alcohol consumption.