Pediatric Minor Head Injury 2.0

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Presentation transcript:

Pediatric Minor Head Injury 2.0 James (Jim) L. Homme, MD Emergency Medicine Clinics Volume 36, Issue 2, Pages 287-304 (May 2018) DOI: 10.1016/j.emc.2017.12.015 Copyright © 2018 The Author Terms and Conditions

Fig. 1 Risk estimates of ciTBI in children <2 years (A) or 2–18 years (B) with minor blunt head trauma based on 1 or 2 PECARN variables. a Aggregate data for all patients less than 18 years of age. CI, confidence interval; GCS, Glasgow Coma Scale. Emergency Medicine Clinics 2018 36, 287-304DOI: (10.1016/j.emc.2017.12.015) Copyright © 2018 The Author Terms and Conditions

Fig. 2 Head CT Choice clinical decision aids for children with minor blunt head trauma. Decision aids are utilized for knowledge transfer and patient/caregiver preference identification in the process of shared decision making. Examples provided are for ciTBI risk estimates of 1 in 100 and 2 in 1000. a This information may not apply to young children who are not yet able to walk or talk. b Some symptoms may not apply to young children who are not yet able to walk or talk. CT, computed tomography. (From Hess EP, Wyatt KD, Kharbanda AB, et al. Effectiveness of the head CT choice decision aid in parents of children with minor head trauma: study protocol for a multicenter randomized trial. Supplementary Material. Trials 2014;15:253; with permission.) Emergency Medicine Clinics 2018 36, 287-304DOI: (10.1016/j.emc.2017.12.015) Copyright © 2018 The Author Terms and Conditions

Fig. 2 Head CT Choice clinical decision aids for children with minor blunt head trauma. Decision aids are utilized for knowledge transfer and patient/caregiver preference identification in the process of shared decision making. Examples provided are for ciTBI risk estimates of 1 in 100 and 2 in 1000. a This information may not apply to young children who are not yet able to walk or talk. b Some symptoms may not apply to young children who are not yet able to walk or talk. CT, computed tomography. (From Hess EP, Wyatt KD, Kharbanda AB, et al. Effectiveness of the head CT choice decision aid in parents of children with minor head trauma: study protocol for a multicenter randomized trial. Supplementary Material. Trials 2014;15:253; with permission.) Emergency Medicine Clinics 2018 36, 287-304DOI: (10.1016/j.emc.2017.12.015) Copyright © 2018 The Author Terms and Conditions

Fig. 3 Example protocol for evaluation of minor blunt head trauma integrating risk stratification and shared decision making in determination of need for neuroimaging. a See pediatric Glasgow Coma Scale table. CT, computed tomography; ED, emergency department. Emergency Medicine Clinics 2018 36, 287-304DOI: (10.1016/j.emc.2017.12.015) Copyright © 2018 The Author Terms and Conditions