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
Normal CT
OR
Non-depressed or minimally depressed skull fracture
AND
NO intracranial hemorrhage
AND
> 6 months of age
Obtain head CT
GCS 14 or 15
Altered mental status
Seizure
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