Head Trauma Clinical Practice Guidelines

Head trauma is the most common cause of pediatric injury and disability worldwide. The need for rapid triage, assessment and disposition in these cases creates a challenging setting for diagnosis and evaluation. As with appendicitis, CT remains the standard diagnostic medium for head trauma in the ED setting. Furthermore, recent studies have pointed to the potential over-use of CT in those patients with minor head injuries. Given the risks associated with ionizing radiation, strategies that could help decreased or reliance on CT would be very useful.

Within this site you will find a tool that will allow you to determine a patients risk for an intra-cranial bleed based on the work of Kupperman et al. This validated clinical prediction rule helps to identify clinical factors which may more accurately identify which pediatric patients may be safely observed or discharged home without the use of CT.