What is Emergency Medicine - Which kids who have suffered minor head trauma require computed tomography (CT) imaging?
By identifying children at very low risk for clinically significant traumatic brain injury, the Pediatric Emergency Care Applied Research Network (PECARN) decision guidelines are used to direct clinicians' use of imaging (ciTBI). Numerous validation studies have demonstrated the high sensitivity (99%–100%) and moderate specificity (55%–69%) of the guidelines (below) for ciTBI. • Children under 2 years old: normal mental condition, no scalp hematoma (excluding frontal), no loss of consciousness or loss of consciousness lasting less than 5 seconds, no severe mechanism, no perceptible skull fracture, and acting normally in the eyes of the parents. • at least two years old: normal mental condition, no vomiting, no loss of consciousness, no severe mechanism, no evidence of a basilar skull fracture, and no excruciating headache. Consider a term of surveillance for all children with normal mental status and no indication of skull fracture if they do not fit the low-risk criteria specified in PECARN. It should be mentioned that clinical judgment has also proven to be quite sensitive and possibly even more precise in identifying which kids need a CT.
0 Comments
Leave a Reply. |
Kembara's Health SolutionsDiscovering the world of health and medicine. Archives
June 2023
Categories
All
|