Diferencia entre revisiones de «Template:PECARN Head CT Rule»

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==PECARN Head CT Rule==
===<2 years old===
===<2 years old===
;Any 1 of the following?
;Any 1 of the following?
Línea 11: Línea 11:
#LOC ≥ 5 seconds
#LOC ≥ 5 seconds
#Severe injury mechanism
#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
#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)''
Línea 25: Línea 28:
#LOC
#LOC
#Severe injury mechanism
#Severe injury mechanism
#Severe headache
''Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)''
===< 2yr old===
*No CT is necessary if ALL are found:
#Normal mental status
#No scalp hematoma except frontal
##LOC <5s
#Non-severe mechanism
##Severe mechanism = pedestrian or bicyclist w/o helmet struck by motorized vehicle
##Severe mechanism = fall >1m or 3ft
##Severe mechanism = head struck by high-impact object
#No palpable skull fracture
#Normal behavior per parents
===>2yr old===
*No CT is necessary if ALL are found:
#Normal mental status
#No LOC
#No vomiting
#Non-severe mechanism:
##Severe mechanism = pedestrian or bicyclist w/o helmet struck by motorized vehicle
##Severe mechanism = pedestrian or bicyclist w/o helmet struck by motorized vehicle
##Severe mechanism = fall >2m or 5ft
##Severe mechanism = fall >2m or 5ft
##Head struck by high-impact object
##Head struck by high-impact object
#No signs of basilar skull fracture
#Severe headache
#No severe headache
''Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)''

Revisión del 21:34 26 jun 2014

PECARN Head CT Rule

<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. Severe mechanism = pedestrian or bicyclist w/o helmet struck by motorized vehicle
    2. Severe mechanism = 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)

Obtenido de «https://www.wikem.org/w/index.php?title=Template:PECARN_Head_CT_Rule&oldid=22097»