{"id":175,"date":"2011-11-01T19:52:34","date_gmt":"2011-11-01T23:52:34","guid":{"rendered":"http:\/\/emeddoc.org\/?p=175"},"modified":"2011-11-01T19:54:24","modified_gmt":"2011-11-01T23:54:24","slug":"children-at-very-low-risk-of-tbi-per-peacrn","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=175","title":{"rendered":"Children at very low risk of TBI per PEACRN"},"content":{"rendered":"<p>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.<!--more-->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:<\/p>\n<p>1. Normal mental  status<\/p>\n<p>2. No scalp haematoma except frontal<\/p>\n<p>3. No loss of consciousness or  loss of consciousness for less than 5 s<\/p>\n<p>4. Non-severe injury mechanism<\/p>\n<p>5. No  palpable skull fracture<\/p>\n<p>6. Acting normally according to the parents<\/p>\n<p>had a <strong>negative predictive value<\/strong> for ciTBI\u00a0 100.0%, and <strong>sensitivity<\/strong> of 100%<\/p>\n<p><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2809%2961558-0\/fulltext#article_upsell\">Lancet. 2009<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,15,16,1],"tags":[],"class_list":["post-175","post","type-post","status-publish","format-standard","hentry","category-pediatrics","category-pgy3","category-pgy4","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/175","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=175"}],"version-history":[{"count":3,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/175\/revisions"}],"predecessor-version":[{"id":177,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/175\/revisions\/177"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=175"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}