Annals of Emergency Medicine
Volume 42, Issue 4 , Pages 492-506 , October 2003

A decision rule for identifying children at low risk for brain injuries after blunt head trauma

  • Michael J. Palchak, MD

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • James F. Holmes, MD

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Cheryl W. Vance, MD

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • Department of Pediatrics, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Rebecca E. Gelber, MD

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Bobbie A. Schauer, MD

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Mathew J. Harrison, BS

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Jason Willis-Shore, MD

      Affiliations

    • Department of Emergency Medicine, Oregon Health Sciences University, School of Medicine, Portland, OR, USA
    • ,
  • Sandra L. Wootton-Gorges, MD

      Affiliations

    • Department of Radiology, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Robert W. Derlet, MD

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • ,
  • Nathan Kuppermann, MD, MPH

      Affiliations

    • Division of Emergency Medicine, Department of Internal Medicine, University of California–Davis School of Medicine, Davis, CA, USA
    • Department of Pediatrics, University of California–Davis School of Medicine, Davis, CA, USA
    • Corresponding Author InformationAddress for reprints: Nathan Kuppermann, MD, MPH, University of California–Davis Medical Center, PSSB 2100, 2315 Stockton Boulevard, Sacramento, CA 95817-2282; 916-734-1535, fax 916-734-7950

Received 14 November 2002 ,Revised 10 April 2003 ,Accepted 14 April 2003.

References 

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 This article is dedicated to the memory of our beloved friend and colleague, James Seidel, MD, PhD, who was a tireless and vocal advocate for the health and welfare of children.Author contributions: MJP and NK conceived the study and obtained funding for the study. MJP, NK, REG, JFH, JWS, and RWD designed the study. MJP, NK, JFH, CWV, REG, BAS, and MJH participated in data collection, SLWG participated in radiographic interpretation, NK and MJP analyzed and interpreted the data, and MJP and NK drafted the manuscript. All authors participated in manuscript review and revision. MJP takes responsibility for the paper as a whole.Presented in part at the 3rd National Congress for Emergency Medical Services for Children, Dallas, TX, April 2002, the Pediatric Academic Society national meeting, Baltimore, MD, May 2002, and the Society of Academic Emergency Medicine national meeting, St. Louis, MO, May 2002.Supported by a Hibbard E. Williams Grant, University of California–Davis School of Medicine; Faculty Research Grant, University of California–Davis School of Medicine; and a Children's Miracle Network Grant.

PII: S0196-0644(03)00425-6

doi: 10.1067/S0196-0644(03)00425-6

Annals of Emergency Medicine
Volume 42, Issue 4 , Pages 492-506 , October 2003

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