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Head Trauma, Acute — Head Trauma Decision Rules for Children ≥ 2 Years Old — Clinical Pathway: Emergency

Acute Head Trauma Clinical Pathway — Emergency Department

Head Trauma Decision Rules for Children ≥ 2 Years Old

Very Low Risk of Intracranial Injury if All of the Following Are Present

  • Normal Mental Status
    • Altered mental status is defined as:
      • GCS < 15
      • Agitation
      • Somnolence
      • Slow responses
      • Repetitive questioning
  • No LOC
  • No Vomiting
  • Non-severe Injury Mechanism Defined as any of the Following:
    • Motor vehicle crash with:
      • Patient ejection
      • Death of Another Passenger
      • Rollover
    • Pedestrian or bicyclist without helmet struck by a motorized vehicle
    • Falls of > 5 feet
    • Head struck by a high-impact object
  • No Signs of Basilar Skull Fracture
  • No Severe Headache

 

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