"BIG" Solutions: Disposition of Brain Injured Patients in the ED with Dr. Brian Lahiffe
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.