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Head Injury CT Indications in Concussion
Aka: Head Injury CT Indications in Concussion
- See Also
- Head CT
- Head Injury CT Indications in Adults
- Head Injury CT Indications in Children
- Concussion
- Indications: Head CT for Concussion in age over 16 years old (ACEP Guidelines)
- Inclusion Criteria
- Presenting within 24 hours for non-Penetrating Trauma and GCS of 14 or 15
- Patients with loss of consciousness or Amnesia (and at least one of the following criteria)
- Diffuse Headache
- Vomiting
- Age over 60 years
- Alcohol Intoxication or other drug Intoxication
- Short Term Memory deficit
- Signs of Trauma above the clavicles
- Seizures
- GCS Score less than 15
- Focal neurologic deficits
- Coagulopathy
- Patients without loss of consciousness or Amnesia (and at least one of the following criteria)
- Severe Headache
- Vomiting
- Age over 65 years
- Basilar Skull Fracture signs
- GCS Score less than 15
- Focal neurologic deficit
- Coagulopathy
- Significant mechanism of injury
- Vehicle ejection
- Pedestrian struck by vehicle
- Fall from height >3 feet or 5 stairs
- Indications: Head CT for Concussion in age 2 to 20 years old (AAFP and AAP Guidelines)
- Inclusion Criteria
- Presenting within 24 hours for isolated Closed Head Injury
- Imaging for any of criteria met below
- Loss of consciousness >60 seconds
- Consider CT Head for even brief loss of consciousness
- Skull Fracture evidence
- Focal neurologic deficit
- References
- (1999) Pediatrics 104(6): 1407-15 [PubMed]
- Jagoda (2008) Ann Emerg Med 52(6): 714-48 [PubMed]
- Scorza (2012) Am Fam Physician 85(2): 123-32 [PubMed]