Determination

Transfer to PED+ or PED1

Patient meets all criteria following observation?

  • Normal mental status

  • Resolving or minor symptoms

  • Tolerating oral intake

  • Dependable social support

  • No suspicion of abuse or neglect

Your Answer: No

Normal CT
OR
Non-depressed or minimally depressed skull fracture
AND
NO intracranial hemorrhage
AND
> 6 months of age

Your Answer: Yes

Obtain head CT

GCS 14 or 15

  • Altered mental status

  • Seizure

Your Answer: Yes

GCS <13 or altered mental status
AND/OR
Obvious markedly depressed or open skull fracture or evidence of basilar skull fracture
AND/OR
Focal neurologic exam

Your Answer: No