![]() ![]() Mild head injury: differences in prognosis among patients with a Glasgow Coma Scale score of 13 to 15 and analysis of factors associated with abnormal CT findings. Gomez P, Lobato R, Ortega J, De La Cruz J. Management of head-injured patients in the emergency department: a practical protocol. Indications for brain computed tomography and hospital admission pediatric patients with minor head injury: how much can we rely upon clinical findings? Pediatr Neurosurg. Guzel A, Hicdonmez T, Temizoz O, Aksu B, Aylanc H, Karasalihoglu S. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Child's Nervous System: Chns: Official Journal Of The International Society For Pediatric Neurosurgery. ![]() An Italian experience and review of literature. Brain CT scan for pediatric minor accidental head injury. 2002 38(4):388-92.įundaro C, Caldarelli M, Monaco S, Cota F, Giorgio V, Onesimo R, et al. Clinical predictors of abnormal computed tomography scans in paediatric head injury. The incidence of acute brain injury and serious impairment in a defined population. CATCH: A clinical decision rule for the use of computed tomography in children with minor head injury. Osmond MH, Klassen TP, Wells GA, Correll R, Jarvis A, Joubert G, et al. A clinical decision rule for cranial computed tomography in minor pediatric head trauma. 2007 42:603-7.Ītabaki SM, Stiell IG, Bazarian JJ, Sadow KE, Vu TT, Camarca MA, et al. Review of radiation risks from computed tomography: Essentials for the pediatric surgeon. Rice HE, Frush DP, Farmer D, Waldhausen JH. Loss of consciousness: When to perform computed tomography? Pediatr Crit Care Med. ![]() The changing “epidemiology” of pediatric head injury and its impact on the daily clinical practice. Rio de Janeiro: Guanabara Koogan 2008:182-214. The index can range from a minimum of 3 (in the case of E1 V1 M1, indicating deep coma) to a maximum of 15 (in the case of E4 V5 M6 indicating an awake, conscious patient). Neurorradiologia-diagnostico por imagem das alteracoes encefalicas. Pediatric Glasgow Coma Scale: points are assigned to each type of stimulus and the sum of the three scores constitutes the GCS index. Studies with larger sample size would be warranted. The CCS is used because very young children cannot speak or move. You may also hear healthcare providers call it the Pediatric Glasgow Coma Scale, or P-GCS. It is most often used when a person has a traumatic brain injury (TBI). Among the mild head injury cases only 1 (3.8%) had positive CT scan findings whereas 16 (80%) with moderate head injury and almost all (100%) subjects with severe head injury had positive CT scan findings.Ĭonclusions:Careful clinical selection based on GCS score before ordering CT scan can help reduce radiation exposure among pediatric patients and pressure on limited resources. The Glasgow Coma Scale (GCS) is a tool that healthcare providers use to measure a persons level of consciousness. Results:Contusion was the most frequent finding in cases with positive CT scan findings and majority (94%) of patients could be managed conservatively. Correlation of CT scan findings with GCS scores and clinical profile done. Methods: An observational study of 50 pediatric cases of head injury that underwent CT scan as part of routine diagnostic work up. Clinical selection of cases prior to ordering CT scan would be desirable to avoid unnecessary radiation exposure and risk of malignancy. The pediatric Glasgow coma scale modified for dogs was a safe tool for evaluation of the conscience of adult dogs.Background:Head injury in pediatric age is a major cause of mortality and disability. The evaluation result of the conscience was normal in 10% of the animals, light alteration in 20%, moderate in 45%, and severe in 25%, with scores of Glasgow equal to 15, from 13 to 14, nine to 12, and eight to three, respectively. The expected extraction of the main factor, OO, was 2.482 with variance of 82.7% and cumulative of 82.7%. With the factorial analysis for the indicators OO, BAV, and BMA the initial values of 2.482, 0.302, and 0.215, respectively, were obtained. Key Features: Printed on Waterproof / Blood Proof Synthetic Paper. Ideal for use in the field as well as during tabletop and live drills. The scale was applied for evaluation of the ocular opening (OO), the best answer associated to vocalization (BAV), and the best motor answer (BMA). Glasgow Coma Scale/JumpSTART Pediatric Cards. The modified scale for dogs was applied at three moments with intervals of 48 hours, resulting in 90 events. Thirty adult dogs with neurological alterations susceptible to evaluation of the conscience were studied. The pediatric Glasgow coma scale was modified for use in veterinary medicine. ![]()
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