Utah Pediatric Trauma Network

Question

Epidural >5mm
Subdural >5mm or pan-hemispheric
Mass effect or shift
Herniation pattern
Complex, comminuted or depressed skull fracture
Basilar skull fracture
Parenchymal tear

AND/OR

< 24 months old with interhemispheric blood, subdural blood of different densities, or evidence of hypoxic injury

Yes

Cerebral contusion < 1 cm
Epidural < 5mm
Subdural < 5mm
Subarachnoid Hemorrhage

Your Answer: No

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Normal CT
OR
Non-depressed or minimally depressed skull fracture
AND
NO intracranial hemorrhage
AND
> 6 months of age

Your Answer: No

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Observe 3-4 hours
OR
Obtain head CT

< 2 years of age? (2-4 see supplemental document)**

Severe mechanism of injury 2

High risk hematoma 3

LOC > 5 seconds

Vomiting 4

> 2 years of age?

Severe mechanism of injury 2

Severe headache

Any loss of consciousness

Vomiting 4

Your Answer: Yes

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GCS 14 or 15

Altered mental status
Seizure

Your Answer: No

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GCS <13 or altered mental status
AND/OR
Obvious markedly depressed or open skull fracture or evidence of basilar skull fracture
AND/OR
Focal neurologic exam

Your Answer: No

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Utah Trauma Performance
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