Head CT for minor head injury in child
Patients 0-18 years presenting to Emerg or the clinic with a minor head injury
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
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.
Klig JE, Kaplan CP. Minor head injury in children. Curr Opin Pediatr 2010;22:257-61.