Journal Article10.1067/S0196-0644(03)00425-6
A decision rule for identifying children at low risk for brain injuries after blunt head trauma.
Michael J. Palchak,James F. Holmes,Cheryl Vance,Rebecca E. Gelber,Bobbie A. Schauer,Mathew J. Harrison,Jason Willis-Shore,Sandra L. Wootton-Gorges,Robert W. Derlet,Nathan Kuppermann +9 more
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TL;DR: Important factors for identifying children at low risk for traumatic brain injuries after blunt head trauma included the absence of: abnormal mental status, clinical signs of skull fracture, a history of vomiting, scalp hematoma, and headache.
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About: This article is published in Annals of Emergency Medicine. The article was published on 01 Oct 2003. The article focuses on the topics: Skull fracture & Traumatic brain injury.
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Citations
Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study
Nathan Kuppermann,James F. Holmes,Peter S. Dayan,John D. Hoyle,Shireen M. Atabaki,Richard Holubkov,Frances M. Nadel,David Monroe,Rachel M. Stanley,Dominic A. Borgialli,Mohamed K. Badawy,Jeff E. Schunk,Kimberly S. Quayle,Prashant Mahajan,Richard Lichenstein,Kathleen Lillis,Michael G. Tunik,Elizabeth Jacobs,James M. Callahan,Marc H. Gorelick,Todd F. Glass,Lois K. Lee,Michael C. Bachman,Arthur Cooper,Elizabeth C. Powell,Michael Gerardi,Kraig Melville,J. Paul Muizelaar,David H. Wisner,Sally Jo Zuspan,J. Michael Dean,Sandra L. Wootton-Gorges +31 more
TL;DR: These validated prediction rules identified children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary and missed neurosurgery in validation populations.
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CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury
Martin H. Osmond,Terry P. Klassen,George A. Wells,Rhonda Correll,Anna Jarvis,Gary Joubert,Benoit Bailey,Laurel Chauvin-Kimoff,Martin V. Pusic,Don McConnell,Cheri Nijssen-Jordan,Norm Silver,Brett Taylor,Ian G. Stiell +13 more
TL;DR: A decision rule based on recursive partitioning that identifies children at two levels of risk for CT of the head and has the potential to standardize and improve the use of CT for children with minor head injury is developed.
Iconographies supplémentaires de l'article : Methodologic Standards for the Development of Clinical Decision Rules in Emergency Medicine
Ian G Stiell,George A Wells +1 more
- 09 Aug 2011
TL;DR: The 6 major stages in the development and testing of a new clinical decision rule are considered and a number of standards within each stage are discussed.
517
Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury among Children
Angela Lumba-Brown,Keith Owen Yeates,Kelly Sarmiento,Matthew J. Breiding,Tamara M. Haegerich,Gerard A. Gioia,Michael K. Turner,Edward C. Benzel,Stacy J. Suskauer,Christopher C. Giza,Madeline Matar Joseph,Catherine Broomand,Barbara N. Weissman,Wayne A. Gordon,David W. Wright,Rosemarie Scolaro Moser,Karen McAvoy,Linda Ewing-Cobbs,Ann-Christine Duhaime,Margot Putukian,Barbara A. Holshouser,David Paulk,Shari L. Wade,Stanley A. Herring,Mark E. Halstead,Heather T. Keenan,Meeryo Choe,Cindy W. Christian,Kevin M. Guskiewicz,P. B. Raksin,Andrew Gregory,Anne Mucha,H. Gerry Taylor,James M. Callahan,John C. DeWitt,Michael W. Collins,Michael W. Kirkwood,John Ragheb,Richard G. Ellenbogen,Theodore J. Spinks,Theodore G. Ganiats,Linda J. Sabelhaus,Katrina Altenhofen,Rosanne Hoffman,Tom Getchius,Gary S. Gronseth,Zoe Donnell,Robert E. O'Connor,Shelly D. Timmons +48 more
TL;DR: This guideline identifies the best practices for mTBI based on the current evidence and creates user-friendly guideline implementation materials that are concise and actionable.
Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for head injury in children
TL;DR: A highly sensitive clinical decision rule is derived for the identification of children who should undergo computed tomography scanning after head injury and has the potential to improve and standardise the care of children presenting with head injuries.
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References
Methodologic Standards for the Development of Clinical Decision Rules in Emergency Medicine
Ian G. Stiell,George A. Wells +1 more
TL;DR: In this article, the authors present a guide to evaluate the quality of clinical decision rules for radiography in trauma, using examples from emergency medicine and their own research on clinical decisions rules.
539
Iconographies supplémentaires de l'article : Methodologic Standards for the Development of Clinical Decision Rules in Emergency Medicine
Ian G Stiell,George A Wells +1 more
- 09 Aug 2011
TL;DR: The 6 major stages in the development and testing of a new clinical decision rule are considered and a number of standards within each stage are discussed.
517
Lessons we have learned from our children: cancer risks from diagnostic radiology
TL;DR: Every effort is needed to minimize doses by an appropriate choice of peak kilovoltage (kVp) and milliampere-seconds (mAs) and at the same time to urge a more selective use of pediatric CT.
Brain injuries among infants, children, adolescents, and young adults.
TL;DR: Basic epidemiological data on brain injuries in infants, children, adolescents, and young adults as well as findings on incidence of brain injury and current data on demographics and risk factors are summarized.
314
Clinical indicators of intracranial injury in head-injured infants
TL;DR: Clinical signs of brain injury are insensitive indicators of ICI in infants and a substantial fraction of infants with ICI will be detected through radiographic imaging of otherwise asymptomatic infants with significant scalp hematomas.
213
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