Transfer to neurosurgical center

[oded private]

Well, we got to the nearest hospital, which is  has no nerosurgical 
capabilities. The pateint is attended by a physician (general surgeon?) 
about 10 min later. In that point, his brother was told by an eye witness 
that he was defiently struck.The pateint later starts to complain about 
local pain in the back of the head which feels like he was struck there.  It 
takes over an hour since arrival for a nuerologist to attend him. All along 
he is shivering, and continues to have amnesia.
Second dilema- should such a patient  immediatly be a candidate for transfer 
to neurosurgical center? (in that time of the day, an ambulace could take 
him to a neurosurgical center in ~10-15 min)

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