Head CT in a Child for a Minor Head Injury

Decision

Head CT for minor head injury in child

Population

Patients 0-18 years presenting to Emerg or the clinic with a minor head injury

Components

If any or some of the following features are present:

  • Abnormal mental status
  • Signs of skull fracture
  • Scalp hematoma
  • Age less than 2 years
  • History of vomiting

Score

Any positive features, consider ABI and CT imaging.

Inform parents that research has shown a 1:2000 – 1:5000 risk of mortality from solid tumors or leukemia in children who have a single pediatric head CT.

Reference

Klig JE, Kaplan CP. Minor head injury in children. Curr Opin Pediatr 2010;22:257-61.