Diferencia entre revisiones de «Template:PECARN Head CT Rule»
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Línea 2: Línea 2:
;Any 1 of the following?
;Any 1 of the following?
#GCS ≤14
#GCS ≤14
#Altered Mental Status
#[[Altered Mental Status]]
#Palpable skull Fracture
#Palpable [[Skull Fracture]]
''Then obtain a Non-Con Brain CT (4.4% risk of cTBI)''
''Then obtain a Non-Con Brain CT (4.4% risk of cTBI)''


Línea 19: Línea 19:
;Any 1 of the following?
;Any 1 of the following?
#GCS ≤14
#GCS ≤14
#Altered Mental Status
#[[Altered Mental Status]]
#Signs of a basilar skull fracture
#Signs of a basilar skull fracture
''Then obtain a Non-Con Brain CT (4.3% risk of cTBI)''
''Then obtain a Non-Con Brain CT (4.3% risk of cTBI)''


;1 or more of the following?
;1 or more of the following?
#History of vomitting
#History of [[vomitting]]^
#LOC
#LOC
#Severe injury mechanism
#Severe injury mechanism
Línea 30: Línea 30:
##Fall >2m or 5ft
##Fall >2m or 5ft
##Head struck by high-impact object
##Head struck by high-impact object
#Severe headache
#Severe [[headache]]
''Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)''
''Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)''
^May consider observation in place of imaging in children with isolated vomiting (no other indication) as the sole risk factor<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>

Revisión del 21:46 26 jun 2014

<2 years old

Any 1 of the following?
  1. GCS ≤14
  2. Altered Mental Status
  3. Palpable Skull Fracture

Then obtain a Non-Con Brain CT (4.4% risk of cTBI)

1 or more of the following?
  1. Non-frontal scalp hematoma
  2. LOC ≥ 5 seconds
  3. Severe injury mechanism
    1. pedestrian or bicyclist w/o helmet struck by motorized vehicle
    2. fall >1m or 3ft
    3. head struck by high-impact object
  4. Abnormal activity per parents

Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)

≥2 years old - 18 years

Any 1 of the following?
  1. GCS ≤14
  2. Altered Mental Status
  3. Signs of a basilar skull fracture

Then obtain a Non-Con Brain CT (4.3% risk of cTBI)

1 or more of the following?
  1. History of vomitting^
  2. LOC
  3. Severe injury mechanism
    1. Pedestrian or bicyclist w/o helmet struck by motorized vehicle
    2. Fall >2m or 5ft
    3. Head struck by high-impact object
  4. Severe headache

Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)

^May consider observation in place of imaging in children with isolated vomiting (no other indication) as the sole risk factor[1]

  1. ↑ 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
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