Acute Head Trauma Clinical Pathway — Emergency Department
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 when developmentally appropriate
- Repetitive questioning
- Altered mental status is defined as:
- No Hematoma or Isolated Frontal Hematoma
- No LOC or LOC < 5 Seconds
- Non-severe Injury Mechanism
- Severe 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 > 3 feet
- Head struck by a high-impact object
- Motor vehicle crash with:
- Severe defined as any of the following:
- No Palpable Skull Fracture
- Acting Normally According to the Parents