Ver el código de «Template:PECARN Head CT Rule»

''Rules below are according to the of [[EBQ:PECARN_Pediatric_Head_CT_Rule|PECARN Head CT Study]]<ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule|PECARN Rule]]  Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''
===<2 years old===
[[File:PECARN Under Age 2.jpg|thumb|PECARN Under Age 2]]
====Any 1 of the following?====
*GCS ≤14
*[[Altered Mental Status]]
*Palpable [[Skull Fracture]]
''Then '''obtain''' a Non-Con Brain CT (4.4% risk of cTBI)''

====1 or more of the following?====
*Non-frontal scalp hematoma
*LOC ≥ 5 seconds
*Severe injury mechanism
**pedestrian or bicyclist without helmet struck by motorized vehicle
**fall >1m or 3ft
**head struck by high-impact object
*Abnormal activity per parents
''Then '''consider''' a Non-Con Brain CT or Observation (0.9% risk of cTBI)''

===≥2 years old - 18 years===
[[File:PECARN Age 2 and Up.jpg|thumb|PECARN Age 2 and Up]]
====Any 1 of the following?====
*GCS ≤14
*[[Altered Mental Status]]
*Signs of a [[basilar skull fracture]]
''Then '''obtain''' a Non-Con Brain CT (4.3% risk of cTBI)''

====1 or more of the following?====
*History of [[vomiting]]^
*LOC
*Severe injury mechanism
**Pedestrian or bicyclist without helmet struck by motorized vehicle
**Fall >2m or 5ft
**Head struck by high-impact object
*Severe [[headache]]
''Then '''consider''' a Non-Con Brain CT or Observation (0.9% risk of cTBI)''

^Consider observation in place of imaging in children with isolated vomiting (no other indication) as the sole risk factor (0.2% risk of cTBI)<ref>Dayan PS, et al. "Association of Traumatic Brain Injuries with Vomiting in Children with Blunt Head Trauma.  June 2014. Annals of EM. 63(6):657-665</ref>