Template:Denver Screening Criteria: Difference between revisions
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===Risk Factors=== | ===Risk Factors=== | ||
*[[Le Fort fractures|Midface Fractures]] | *[[Le Fort fractures|Midface Fractures]] (Le Fort II or III) | ||
*Basilar Skull Fracture with carotid canal involvement | |||
*Basilar Skull Fracture | *Diffuse axonal injury with GCS<6 | ||
*GCS< | *Cervical spine fracture | ||
*Hanging with | *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 | *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> | ||
Revision as of 13:48, 4 December 2019
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 (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
- ↑ 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