Diferencia entre revisiones de «Template:Denver Screening Criteria»

Sin resumen de edición
Línea 1: Línea 1:
===[[Denver screening criteria]] for blunt cerebrovascular injury===
''The [[Denver Screening Criteria]] are divided into risk factors and signs and symptoms''
''The [[Denver Screening Criteria]] are divided into risk factors and signs and symptoms''
===Signs and Symptoms===
====Signs and Symptoms====
*Arterial hemorrhage
*Arterial hemorrhage
*Cervical bruit
*Cervical bruit
Línea 8: Línea 9:
*Stroke on head CT
*Stroke on head CT


===Risk Factors===
====Risk Factors====
*[[Le Fort fractures|Midface Fractures]] (Le Fort II or III)
*[[Le Fort fractures|Midface Fractures]] (Le Fort II or III)
*Basilar Skull Fracture with carotid canal involvement
*Basilar Skull Fracture with carotid canal involvement

Revisión del 06:32 11 dic 2019

Denver screening criteria for blunt cerebrovascular injury

The Denver Screening Criteria are divided into risk factors and signs and symptoms

Signs and Symptoms

  • Arterial hemorrhage
  • Cervical bruit
  • Expanding neck hematoma
  • Focal neurologic deficit
  • Neuro exam inconsistent with head CT
  • Stroke on head CT

Risk Factors

  • Midface Fractures (Le Fort II or III)
  • Basilar Skull Fracture with carotid canal involvement
  • Diffuse axonal injury with GCS<6
  • Cervical spine fracture
  • Hanging with anoxic brain injury
  • Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status
    • Isolated seatbelt sign without other neurologic symptoms has not been identified as a risk factor[1][2]
  1. DiPerna CA, Rowe VL, Terramani TT, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68:441–445
  2. Rozycki GS, Tremblay L, Feliciano DV, et al. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. J Trauma. 2002;52:618–623; discussion 623–624