Annals of Emergency Medicine
Volume 42, Issue 4 , Pages 515-518 , October 2003

Decisionmaking in pediatric minor head trauma

  • David S Greenes, MD

      Affiliations

    • Corresponding Author InformationAddress for correspondence: David S. Greenes, MD, Division of Emergency Medicine, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115; 617-355-5862, fax 617-731-3279

References 

    References
  1. Haydel MJ, Preston CA, Mills TJ, et al.  Indications for computed tomography in patients with minor head injury. N Engl J Med. 2000;343:100–105
  2. Stiell IG, Wells GA, Vandemheen K, et al.  The Canadian CT head rule for patients with minor head injury. Lancet. 2001;357:1391–1396
  3. Dacey RG, Alves WM, Rimel RW, et al.  Neurosurgical complications after apparently minor head injury. Assessment of risk in a series of 610 patients. J Neurosurg. 1986;65:203–210
  4. Reinus WR, Wippold F, Erickson KK. Practical selection criteria for noncontrast computed tomography in patients with head trauma. Ann Emerg Med. 1993;22:1148–1155
  5. The management of minor closed head injury in children. Committee on Quality Improvement, American Academy of Pediatrics . Commission on Clinical Policies and Research, American Academy of Family Physicians. Pediatrics. 1999;104:1407–1415
  6. Ingebrigtsen T, Romner B. Routine early CT scan is cost saving after minor head injury. Acta Neurologica Scandinavica. 1996;93:207–210
  7. Stein SC, O'Malley KF, Ross SE. Is routine computed tomography scanning too expensive for mild head injury?. Ann Emerg Med. 1991;20:1286–1289
  8. Klassen TP, Reed MH, Stiell IG, et al.  Variation in utilization of computed tomography scanning for the investigation of minor head trauma in children: a Canadian experience. Acad Emerg Med. 2000;7:739–744
  9. Brenner D, Elliston C, Hall E, et al.  Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol. 2001;176:289–296
  10. Stiell IG, Wells GA. Methodologic standards for the development of clinical decision rules in emergency medicine. Ann Emerg Med. 1999;33:437–447
  11. Quayle KS, Jaffe DM, Kupperman N, et al.  Diagnostic testing for acute head injury in children: when are head computed tomography and skull radiographs indicated?. Pediatrics [serial online]. 1997;99; Available at: http://www.pediatrics.org/cgi/content/full/99/5/e11 Accessed August 4, 2003.
  12. Greenes DS, Schutzman SA. Clinical indicators of intracranial injury in head-injured infants. Pediatrics. 1999;104:861–867
  13. Davis RL, Mullen N, Makela M, et al.  Cranial computed tomography scans in children after minimal head injury with loss of consciousness. Ann Emerg Med. 1994;24:640–645
  14. Dietrich AM, Bowman MJ, Ginn-Pease ME, et al.  Pediatric head injuries: can clinical factors reliably predict an abnormality on computed tomography?. Ann Emerg Med. 1993;22:1535–1540
  15. Schunk JE, Rodgerson JD, Woodward GA. The utility of head computed tomographic scanning in pediatric patients with normal neurologic examination in the emergency department. Pediatr Emerg Care. 1996;12:160–165
  16. Jagoda AS, Cantrill SV, Wears RL, et al.  Clinical policy: neuroimaging and decisionmaking in adult mild traumatic brain injury in the acute setting. Ann Emerg Med. 2002;40:231–249
  17. Hahn YS, McLone DG. Risk factors in the outcome of children with minor head injury. Pediatr Neurosurg. 1993;19:135–142
  18. Haydel MJ, Shembekar AD. Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms. Ann Emerg Med. 2003;42:507–514
  19. Bonadio WA, Smith DS, Hillman S. Clinical indicators of intracranial lesion on computed tomographic scan in children with parietal skull fracture. Am J Dis Child. 1989;143:194–196
  20. Palchak MJ, Holmes JF, Vance CW, et al.  A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Ann Emerg Med. 2003;42:492–506
  21. Anonymous . From the Centers for Disease Control and Prevention. Sports-related recurrent brain injuries—United States. JAMA. 1997;277:1190–1191
  22. The Pediatric Emergency Care Applied Research Network . The Pediatric Emergency Care Applied Research Network (PECARN): Rationale, development, and first steps. Acad Emerg Med. 2003;10:661–668

☆ Reprints not available from the author.

PII: S0196-0644(03)00631-0

doi: 10.1067/S0196-0644(03)00631-0

Annals of Emergency Medicine
Volume 42, Issue 4 , Pages 515-518 , October 2003

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