Diferencia entre revisiones de «Template:PECARN Head CT Rule»
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Línea 1: Línea 1:
===<2 years old===
==<2 years old==
;Any 1 of the following?
===Any 1 of the following?===
#GCS ≤14
#GCS ≤14
#[[Altered Mental Status]]
#[[Altered Mental Status]]
Línea 6: Línea 6:
''Then '''obtain''' a Non-Con Brain CT (4.4% risk of cTBI)''
''Then '''obtain''' a Non-Con Brain CT (4.4% risk of cTBI)''


;1 or more of the following?
===1 or more of the following?===
#Non-frontal scalp hematoma
#Non-frontal scalp hematoma
#LOC ≥ 5 seconds
#LOC ≥ 5 seconds
Línea 16: Línea 16:
''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)''


===≥2 years old - 18 years===
==≥2 years old - 18 years==
;Any 1 of the following?
===Any 1 of the following?===
#GCS ≤14
#GCS ≤14
#[[Altered Mental Status]]
#[[Altered Mental Status]]
Línea 23: Línea 23:
''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 [[vomiting]]^
#History of [[vomiting]]^
#LOC
#LOC

Revisión del 01:00 24 nov 2015

<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 vomiting^
  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)

^Consider observation in place of imaging in children with isolated vomiting (no other indication) as the sole risk factor (0.2% risk of cTBI)[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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