EBQ:Denver Screening Criteria: Difference between revisions
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==Background== | ==Background== | ||
*Used to screen for suspected vertebral artery injury(VAI) in trauma | *Used to screen for suspected vertebral artery injury (VAI) in trauma after Blunt Cerebrovascular Injury<ref>Bromberg, William. et al. Blunt Cerebrovascular Injury Practice Management Guidelines: The Eastern Association for the Surgery of Trauma. J Trauma. 68 (2): 471-7, Feb 2010. </ref> | ||
*A CTA to evaluate for VAI should be obtained in those meeting the modified Denver Criteria | *A CTA to evaluate for VAI should be obtained in those meeting the modified Denver Criteria | ||
Revision as of 12:33, 22 July 2014
Background
- Used to screen for suspected vertebral artery injury (VAI) in trauma after Blunt Cerebrovascular Injury[1]
- A CTA to evaluate for VAI should be obtained in those meeting the modified Denver Criteria
Criteria
- Lateralizing nueurologic deficit (not explained by head CT)
- Infarct on head CT
- Non-expanding cervical hematoma
- Massive epistaxis
- Anisocria or Horner Syndrome
- GCS < 8 without significant head CT findings
- Cervical spine fracture
- Basilar skull fracture
- Le Fort II or III facial fractures
- Seatbelt sign above the clavicle
- Cervical bruit or thrill
Validation
See Also
Sources
- ↑ Bromberg, William. et al. Blunt Cerebrovascular Injury Practice Management Guidelines: The Eastern Association for the Surgery of Trauma. J Trauma. 68 (2): 471-7, Feb 2010.