Tahani - Enrich Agency

Please select Age *

Children 2 years and older
Children younger than 2 years

Select if you experience any of these, *

GCS<15
Palpable Skull Fracture
AMS (agitation, somnolence, slow response, repetitive questioning)
NONE

High risk of 4.4% ci-TBI. Please do a CT Scan

Select if you experience any of these

Scalp hematoma (excluding frontal)
LOC > 5 seconds
Severe mechanism of injurry (fall>3ft, MVA w/ejection, rollover or fatality, Bike/ped vs vehicle w/o helmet, Struck by high impact object)
Not acting normally per parent
NONE

low risk of 0.2% ci-TBI.

You are in intermediate risk of 0.9% ci-TBI. You must do a ct scan under observation, there are several factors included to guide decision making.

2+ Questions (1)

GCS < 15
Signs of basilar skull fracture
AMS (agitation, somnolence, slow response, repetitive questions)
None

4.3% risk of ci-TBI*

*ci-TBI: risk of clinically important TBI needing acute intervention, based on PECARN validated prediction rules

Follow up Questions (Please select)

Vomiting
LOC
Severe headache
Severe mechanism of injury • Fall > 5ft • MVA w/ejection, rollover, or fatality • Bike/ped vs. vehicle w/o helmet • Struck by high-impact object
None

CT not indicated, Observe

Low Risk-<0.05%

Observation vs. CT using shared decision-making

Intermediate Risk-0.8%

Clinical factors used to guide decision-making:
• Multiple vs. isolated factors
• Worsening findings during observation (AMS, headache, vomiting)
• Physician experience
• Parental preference