Head CT (Peds): Difference between revisions
(Created page with "==< 2 yr old- no CT if all below negative== AMS Scalp hematoma (parietal, occipital, temporal, excluding frontal) LOC > 5sec Severe mechanism of injury Palpable or unclear ...") |
No edit summary |
||
| Line 1: | Line 1: | ||
==< 2 yr old | ==< 2 yr old== | ||
===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 | |||
==> 2 yr old | |||
AMS | |||
LOC | |||
History of vomiting | |||
Severe mechanism of injury | |||
Clinical signs of basilar skull fracture | |||
Severe headache | |||
NPV > 99% PPV > 99% | NPV > 99% PPV > 99% | ||
==Treatment== | |||
If any (except AMS or e/o fracture) are positive, may consider period of observation vs CT depending on: | If any (except AMS or e/o fracture) are positive, may consider period of observation vs CT depending on: | ||
#Physician experience | |||
Physician experience | #Parental preference | ||
Parental preference | |||
==See Also== | ==See Also== | ||
Peds: Head Trauma (Peds) | Peds: Head Trauma (Peds) | ||
| Line 60: | Line 36: | ||
Trauma: Head Trauma (Adult) | Trauma: Head Trauma (Adult) | ||
==Source== | ==Source== | ||
PECARN- Kupperman 2009 | PECARN- Kupperman 2009 | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 18:38, 7 June 2011
< 2 yr old
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
Peds: Head Trauma (Peds)
Peds: GCS (Peds)
Peds: Concussion
Peds: Skull Fracture
Peds: Abuse (Nonaccidental Trauma)
Trauma: Head Trauma (Adult)
Source
PECARN- Kupperman 2009