Template:Denver Screening Criteria: Difference between revisions
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*Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status | *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<ref>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</ref><ref>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</ref> | **Isolated seatbelt sign without other neurologic symptoms has not been identified as a risk factor<ref>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</ref><ref>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</ref> | ||
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Revision as of 00:38, 30 March 2015
The Denver Screening Criteria are divided into risk factors and signs and symptoms
Signs and Symptoms
- Focal neurologic deficit
- Arterial Hemorrhage
- Cervical Bruit or Thrill (<50yo)
- Infarct on Head CT
- Expanding Neck Hematoma
- Neuro exam inconsistent with Head CT
Risk Factors
- Midface Fractures
- Cervical Spine Injuries
- Basilar Skull Fracture
- GCS<8
- 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
Source
- ↑ 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
- ↑ 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