Pediatric Minor Head Injury 2.0: Moving from Injury Exclusion to Risk Stratification.

Pediatric Minor Head Injury 2.0: Moving from Injury Exclusion to Risk Stratification. Emerg Med Clin North Am. 2018 May;36(2):287-304 Authors: Homme JJL Abstract Visits for pediatric minor blunt head trauma continue to increase. Variability exists in clinician evaluation and management of this generally low-risk population. Clinical decision rules identify very low-risk children who can forgo neuroimaging. Observation before imaging decreases neuroimaging rates. Outcome data can be used to risk stratify children into more discrete categories. Decision aids improves knowledge and accuracy of risk perception and facilitates identification of caregiver preferences, allowing for shared decision making. For children in whom imaging is performed and is normal or shows isolated linear skull fractures, deterioration and neurosurgical intervention are rare and hospital admission can be avoided. PMID: 29622323 [PubMed - in process]
Source: The Medical Clinics of North America - Category: General Medicine Authors: Tags: Emerg Med Clin North Am Source Type: research