Head trauma (peds) - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:06:26Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Older revision		Revision as of 15:06, 21 March 2026
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	==See Also==		==See Also==
	{{Head Trauma Links Template}}		{{Head Trauma Links Template}}

			== Calculators ==
			{{PECARN_Calculator}}

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 PECARN Pediatric Head Injury Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{PECARN_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Trauma]]		[[Category:Trauma]]

Danbot: Add PECARN Pediatric Head Injury calculator (collapsible)

2026-03-21T13:53:23Z

Add PECARN Pediatric Head Injury calculator (collapsible)

← Older revision		Revision as of 13:53, 21 March 2026
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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 PECARN Pediatric Head Injury Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{PECARN_Calculator}}
			</div>
			</div>
	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:Trauma]]		[[Category:Trauma]]

Ostermayer at 17:08, 17 January 2026

2026-01-17T17:08:56Z

← Older revision		Revision as of 17:08, 17 January 2026
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	{{~~Peds top}} [[~~head trauma (main)]]		{{PediatricPage\|head trauma (main)}}
	==Background==		==Background==
	*TBI in the pediatric population is rare, occuring in 0.9% of the 42,412 [[PECARN head trauma rule\|PECARN population]]		*TBI in the pediatric population is rare, occuring in 0.9% of the 42,412 [[PECARN head trauma rule\|PECARN population]]

Rossdonaldson1 at 23:11, 28 November 2019

2019-11-28T23:11:21Z

← Older revision		Revision as of 23:11, 28 November 2019
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	~~''This page is for the general approach to <u>pediatric</u> head trauma; see~~ [[head trauma (main)]] ~~for adult patients.''~~		{{Peds top}} [[head trauma (main)]]
	==Background==		==Background==
	*TBI in the pediatric population is rare, occuring in 0.9% of the 42,412 [[PECARN head trauma rule\|PECARN population]]		*TBI in the pediatric population is rare, occuring in 0.9% of the 42,412 [[PECARN head trauma rule\|PECARN population]]

Rossdonaldson1: Rossdonaldson1 moved page Pediatric head trauma to Head trauma (peds)

2019-04-03T04:01:07Z

Rossdonaldson1 moved page Pediatric head trauma to Head trauma (peds)

← Older revision	Revision as of 04:01, 3 April 2019
(No difference)

Rossdonaldson1: /* Evaluation */

2018-09-13T17:04:17Z

Evaluation

← Older revision		Revision as of 17:04, 13 September 2018
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	==Evaluation==		==Evaluation==
	===Work-Up===		===Work-Up===
	''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''

	{{PECARN Head CT Rule}}		{{PECARN Head CT Rule}}

Rossdonaldson1 at 16:56, 13 September 2018

2018-09-13T16:56:44Z

← Older revision		Revision as of 16:56, 13 September 2018
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	==Background==		==Background==
	*TBI in the pediatric population is rare, occuring in 0.9% of the 42,412 [[PECARN head trauma rule\|PECARN population]]		*TBI in the pediatric population is rare, occuring in 0.9% of the 42,412 [[PECARN head trauma rule\|PECARN population]]
	*[[PECARN head trauma rule\|PECARN ~~rules~~]] ~~have~~ become standard of care		*The primary ED question is whether or not to perform a head CT to assess for intracranial hemorrhage
			**Cranial ultrasound is a poor screening tool for bleeding<ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref>
			*The [[PECARN head trauma rule\|PECARN rule]] has become standard of care to determine which patients need CT imaging
	**In patients <2 yrs the aid is 100% sensitive with NPV of 100%		**In patients <2 yrs the aid is 100% sensitive with NPV of 100%
	**In patient >2 yrs the aid is 96.8% sensitive with NPV of 99.95% (with validation studies showing sensitivity of 100% for TBI and injury requiring neurosurgery		**In patient >2 yrs the aid is 96.8% sensitive with NPV of 99.95% (with validation studies showing sensitivity of 100% for TBI and injury requiring neurosurgery
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	==Evaluation==		==Evaluation==
	===Work-Up===		===Work-Up===
	Young infants: cranial ultrasound is a poor screening tool for bleeding <ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref><br />

	''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''		''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''

Rossdonaldson1 at 01:27, 31 August 2018

2018-08-31T01:27:52Z

← Older revision		Revision as of 01:27, 31 August 2018
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	**In patients <2 yrs the aid is 100% sensitive with NPV of 100%		**In patients <2 yrs the aid is 100% sensitive with NPV of 100%
	**In patient >2 yrs the aid is 96.8% sensitive with NPV of 99.95% (with validation studies showing sensitivity of 100% for TBI and injury requiring neurosurgery		**In patient >2 yrs the aid is 96.8% sensitive with NPV of 99.95% (with validation studies showing sensitivity of 100% for TBI and injury requiring neurosurgery

			{{GCS peds}}

	==Clinical Features==		==Clinical Features==
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	==Evaluation==		==Evaluation==
	~~{{GCS peds}}~~
	~~{{GCS table}}~~

	===Work-Up===		===Work-Up===
	Young infants: cranial ultrasound is a poor screening tool for bleeding <ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref><br />		Young infants: cranial ultrasound is a poor screening tool for bleeding <ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref><br />

	''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''		''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''

			{{PECARN Head CT Rule}}

	==Management==		==Management==
	~~{{PECARN Head CT Rule}}~~		''Dependent on diagnosis, see:''
			*[[Post-concussive syndrome]]
			*[[Intracranial hemorrhage]]
			*[[Moderate-to-severe traumatic brain injury]]
			**[[Elevated intracranial pressure]]
			*[[Mild traumatic brain injury]]

	==Disposition==		==Disposition==

Mrosen5506 at 15:35, 17 August 2018

2018-08-17T15:35:01Z

← Older revision		Revision as of 15:35, 17 August 2018
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	===Work-Up===		===Work-Up===
			Young infants: cranial ultrasound is a poor screening tool for bleeding <ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref><br />

	''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''		''Rules below are with the application of PECARN <ref>[[EBQ:PECARN_Pediatric_Head_CT_Rule\|PECARN Rule]] Kupperman N, Holmes JF, Dayan PS, et al: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet 374(9696): 1160, 2009</ref>''

	==Management==		==Management==
	Young infants: cranial ultrasound is a poor screening tool for bleeding <ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref>
	{{PECARN Head CT Rule}}		{{PECARN Head CT Rule}}

Mrosen5506: /* Management */

2018-08-17T15:32:37Z

Management

← Older revision		Revision as of 15:32, 17 August 2018
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	==Management==		==Management==
			Young infants: cranial ultrasound is a poor screening tool for bleeding <ref>Elkhunovich, M., Sirody, J., McCormick, T., Goodarzian, F., & Claudius, I. (2018). The Utility of Cranial Ultrasound for Detection of Intracranial Hemorrhage in Infants. Pediatric Emergency Care, 34(2), 96–101.</ref>
	{{PECARN Head CT Rule}}		{{PECARN Head CT Rule}}