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  • Canadian CT Head Rule for Minor Injury Patients

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    Mo'men Nabil
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    The Canadian CT Head Rule provides guidelines for determining when a CT scan is required for patients with minor head injuries. It identifies high-risk factors like a GCS score lower than 15 two hours after injury or suspected open or depressed skull fracture that always warrant a CT scan. Medium-risk factors like amnesia before impact of 30 minutes or longer or a dangerous injury mechanism sometimes require a CT scan. The rule does not apply to non-trauma cases, patients under 16 or over 65, those with a GCS lower than 13, or those taking blood thinners.

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    Cdr Ct head Poster

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    The Canadian CT Head Rule provides guidelines for determining when a CT scan is required for patients with minor head injuries. It identifies high-risk factors like a GCS score lower than 15 two hours after injury or suspected open or depressed skull fracture that always warrant a CT scan. Medium-risk factors like amnesia before impact of 30 minutes or longer or a dangerous injury mechanism sometimes require a CT scan. The rule does not apply to non-trauma cases, patients under 16 or over 65, those with a GCS lower than 13, or those taking blood thinners.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    10 views1 page

    Canadian CT Head Rule for Minor Injury Patients

    Uploaded by

    Mo'men Nabil
    The Canadian CT Head Rule provides guidelines for determining when a CT scan is required for patients with minor head injuries. It identifies high-risk factors like a GCS score lower than 15 two hours after injury or suspected open or depressed skull fracture that always warrant a CT scan. Medium-risk factors like amnesia before impact of 30 minutes or longer or a dangerous injury mechanism sometimes require a CT scan. The rule does not apply to non-trauma cases, patients under 16 or over 65, those with a GCS lower than 13, or those taking blood thinners.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Canadian CT Head Rule

    CT head is only required for minor head injury patients


    with any one of these findings:

    High Risk (for Neurological Intervention)


    1.
    2.
    3.
    4.
    5.

    GCS score < 15 at 2 hrs after injury


    Suspected open or depressed skull fracture
    Any sign of basal skull fracture*
    Vomiting 2 episodes
    Age 65 years

    Medium Risk (for Brain Injury on CT)


    6. Amnesia before impact 30 min
    7. Dangerous mechanism ** (pedestrian,
    occupant ejected, fall from elevation)

    *Signs of Basal Skull Fracture


    - hemotympanum, racoon eyes, CSF otorrhea/
    rhinorrhea, Battles sign

    ** Dangerous Mechanism
    - pedestrian struck by vehicle
    - occupant ejected from motor vehicle
    - fall from elevation 3 feet or 5 stairs

    Rule Not Applicable If:


    -

    Non-trauma cases
    GCS < 13
    Age < 16 years
    Coumadin or bleeding disorder
    Obvious open skull fracture

    Stiell IG, et al. The Canadian CT Head Rule for Patients with Minor Head Injury. Lancet 2001;357:1391-96.

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