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Well-appearing head injury with GCS 13–15 and abnormal CT still needs structured disposition. mBIG sorts CT-confirmed skull fracture or intracranial bleeding by the highest-risk feature; the bedside anchor is repeated neurological examination backed by platelet, anticoagulant and measured CT detail.

Major trauma handover is the strongest first choice because it is immediately transferable to resuscitation practice. Open this before a trauma shift if stretcher-to-bay transfer, iMIST handover, crowd noise and ABC role clarity are recurring problems in the team.

Unstable torso bleeding asks a destination question before a procedure question. RAPTOR hybrid suites matter when pelvic arterial bleeding, liver bleeding, blunt aortic injury or junctional vascular injury may need operative control, endovascular control or both without unsafe transfers.