(QATCH Rule Osmond et al. (PERC) CMAJ 2010;182:341-8 eT NRC Aaa RCM rr Ma ML Le CT of the head is required it: 1.GCS < 15-2 hours after injury Ip ‘Sensitivity 100% 2. Suspected open or depressed skull fracture SSpechely 10.2%. 3. History of worsening headache Ghee beets fo 4. Irritability on examination ance oe es 5 1% 5. Any sign of basal skull fracture Sere ‘6. Large, boggy hematoma of scalp -Require 51.9% to 7. Dangerous mechanism of injury undergo CTeet Lie ry former Cu eri ty becker Faerie ered ge ene eee ee pps neon Tetra = eee ae (eo) epnetinaientes: eciet forget eer Serer pereereene etre penne) pers eed eee eed Beaten ocean oad eS. ee = ————CHALICE Children’ s Head injury Algorithm for the prediction of Important Clinical Events J Dunning et al. Arch Dis Child 2006;91:885-91 Prospective Cohort study from 2000-2003 (n=22772) Outcome measure: composite comprising death, neurosurgical intervention, or marked abnormalities on CT Safer than Canadian CT head rule May increase rate of CT scanning Whnessad LOC > 5 ming Histor of amnesia (ether antegrase oF revograde) > 5 mine “Abnormal dowsnass 23vomis ater Suppiconon NAL “Seizure after Perey GOSe 14. or om d 40nvh) Fallot» Im in height “High sped iy Homa propellaor an ebjeet