Safe to forgo CT Risk of intracranial injury is low May consider CT w o contrast vs careful clinical observation based on parental preference multiple risk factors worsening clinical sx during observation and in young infants in which observational assess

By rray, 30 October, 2023
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Child 2 yo w intermediate risk per PECARN criteria GCS 15 NL mental status and no evidence of basilar skull fx but who may have hx of LOC vomiting severe injury mechanism or severe headache Risk of significant injury 0 8
Child
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Safe to forgo CT. Risk of intracranial injury is low. May consider CT w/o contrast vs. careful clinical observation based on parental preference, multiple risk factors, worsening clinical sx during observation, and in young infants in which observational assessment is more challenging.