Template:PECARN Head CT Rule
<2 years old
- Any 1 of the following?
- GCS ≤14
- Altered Mental Status
- Palpable skull Fracture
Then obtain a Non-Con Brain CT (4.4% risk of cTBI)
- 1 or more of the following?
- Non-frontal scalp hematoma
- LOC ≥ 5 seconds
- Severe injury mechanism
- pedestrian or bicyclist w/o helmet struck by motorized vehicle
- fall >1m or 3ft
- head struck by high-impact object
- Abnormal activity per parents
Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)
≥2 years old - 18 years
- Any 1 of the following?
- GCS ≤14
- Altered Mental Status
- Signs of a basilar skull fracture
Then obtain a Non-Con Brain CT (4.3% risk of cTBI)
- 1 or more of the following?
- History of vomitting
- LOC
- Severe injury mechanism
- Pedestrian or bicyclist w/o helmet struck by motorized vehicle
- Fall >2m or 5ft
- Head struck by high-impact object
- Severe headache
Then consider a Non-Con Brain CT or Observation (0.9% risk of cTBI)