my friend has had a bad fall down a flight of 14 steps, he has a cracked skull and some bleeding on the brain, He was taken to hospital by ambulance, This happened 4 days ago, He was told that he can be discharged and can fly back to South Africa as soon as he wants to. He is still vomiting and confused, - is this safe
Traumatic brain injury. Needs observation till resolution of bleed or hematoma. Even discharged vomiting and confusion are not a good signs. To be decided whether really signs of intro cranial hypertension are still persisting secondary to hematoma or whether is resolving or expanding and to take a decision accordingly for a repeat ct brain. Traveling is very unsafe at this stage.