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| ==< 2 yr old==
| | #Redirect[[Head trauma (peds)]] |
| ===no CT if all below negative===
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| #AMS | |
| #Scalp hematoma (parietal, occipital, temporal, excluding frontal)
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| #LOC > 5sec
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| #Palpable or unclear skull fracture
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| #Acting normal per parent
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| #Severe mechanism of injury
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| ##Fall >3ft (>0.9m)
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| ##Head struck by high-impact object
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| ##MVC w/ pt ejection, death of passenger, or rollover
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| ##Pedestrian or bicyclist struck by motorized vehicle
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| ==> 2 yr old==
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| ===no CT if all below negative===
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| #AMS
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| #LOC
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| #History of vomiting
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| #Clinical signs of basilar skull fracture
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| #Severe headache
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| #Severe mechanism of injury
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| ##Fall >5ft (>1.5m)
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| ##Head struck by high-impact object
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| ##MVC w/ pt ejection, death of passenger, or rollover
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| ##Pedestrian or bicyclist struck by motorized vehicle
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| NPV > 99% PPV > 99%
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| ==Treatment==
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| If any (except AMS or e/o fracture) are positive, may consider period of observation vs CT depending on:
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| #Physician experience
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| #Parental preference
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| ==See Also==
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| [[Head Trauma (Minor) (Peds)]] | |
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| [[GCS (Peds)]]
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| [[Concussion]]
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| [[Skull Fracture]]
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| [[Abuse (Nonaccidental Trauma)]]
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| [[Head Trauma (Adult)]]
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| ==Source==
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| PECARN- Kupperman 2009
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| [[Category:Peds]]
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| [[Category:Trauma]]
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