Diferencia entre revisiones de «Template:PECARN Head CT Rule»
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==<2 years old== | ===<2 years old=== | ||
===Any 1 of the following?=== | ====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)'' | ''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 | |||
*LOC ≥ 5 seconds | |||
*Severe injury mechanism | |||
**pedestrian or bicyclist w/o 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)'' | ''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 | |||
*[[Altered Mental Status]] | |||
*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 [[vomiting]]^ | |||
*LOC | |||
*Severe injury mechanism | |||
**Pedestrian or bicyclist w/o 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)'' | ''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 | ^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> | ||
Revisión del 14:08 19 dic 2015
<2 years old
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 w/o 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
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 w/o 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)[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