Head CT (Peds): Difference between revisions

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(Changed redirect target from Pediatric head trauma to Head trauma (peds))
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==< 2 yr old==
#Redirect[[Head trauma (peds)]]
===no CT if all below negative===
#AMS
#Scalp hematoma (parietal, occipital, temporal, excluding frontal)
#LOC > 5sec
#Severe mechanism of injury
#Palpable or unclear skull fracture
#Acting normal per parent
 
==> 2 yr old==
===no CT if all below negative===
#AMS
#LOC
#History of vomiting
#Severe mechanism of injury
#Clinical signs of basilar skull fracture
#Severe headache
 
NPV > 99%  PPV > 99%
 
==Treatment==
If any (except AMS or e/o fracture) are positive, may consider period of observation vs CT depending on:
#Physician experience
#Parental preference
 
==See Also==
[[Head Trauma (Minor) (Peds)]]
 
[[GCS (Peds)]]
 
[[Concussion]]
 
[[Skull Fracture]]
 
[[Abuse (Nonaccidental Trauma)]]
 
[[Head Trauma (Adult)]]
 
==Source==
PECARN- Kupperman 2009
 
[[Category:Peds]]
[[Category:Trauma]]

Latest revision as of 04:02, 3 April 2019

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