mBIG — Modified Brain Injury Guidelines

Clinical criteria

IntoxicationmBIG 2 GCS < 15mBIG 3 Focal neurologic deficitmBIG 3 Anticoagulation usemBIG 3 Platelets < 100k or antiplatelet usemBIG 3

CT imaging

Epidural hematoma (any)mBIG 3 Intraventricular hemorrhage (any)mBIG 3

Skull fracture

SDH — Subdural hematoma

IPH — Intraparenchymal hemorrhage

SAH — Subarachnoid hemorrhage

Cerebral edema

Disclaimer This tool implements the institution-modified Brain Injury Guidelines for adult blunt TBI triage. It is intended to assist, not replace, clinical judgment. Verify all recommendations against current institutional policy and the patient's full clinical context. Not for use in penetrating head injury, pediatric patients, or where clinical concern exceeds the calculated category. Do not enter patient identifiers; this tool stores no data.