By rray, 30 October, 2023 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
By rray, 30 October, 2023 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 Child 2 yo GCS 15 NL mental status no signs of basilar skull fx no LOC no vomiting no severe injury mechanism no severe headache Risk
By rray, 30 October, 2023 Safe to forgo CT eval PECARN criteria are robustly validated w near perfect sensitivity