Utah Pediatric Trauma Network

Question

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

Yes

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

Your Answer: Yes

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Observe 3-4 hours
OR
Obtain head CT

< 2 years of age? (2-4 see supplemental document)**

Severe mechanism of injury 2

High risk hematoma 3

LOC > 5 seconds

Vomiting 4

> 2 years of age?

Severe mechanism of injury 2

Severe headache

Any loss of consciousness

Vomiting 4

Your Answer: Yes

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GCS 14 or 15

Altered mental status
Seizure

Your Answer: No

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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

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Utah Trauma Performance Improvement Regions

Utah Trauma Performance
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