Children at very low risk of TBI per PEACRN

Pediatrics PGY3 PGY4 Uncategorized

Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The goal of study was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary.They studied and interpreted data from 42,414 kids younger than 18 years old with GCS of 14-15. In children less than 2 years old:

1. Normal mental status

2. No scalp haematoma except frontal

3. No loss of consciousness or loss of consciousness for less than 5 s

4. Non-severe injury mechanism

5. No palpable skull fracture

6. Acting normally according to the parents

had a negative predictive value for ciTBI  100.0%, and sensitivity of 100%

Lancet. 2009

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