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Comment
. 2013 Feb 25:11:51.
doi: 10.1186/1741-7015-11-51.

New guidelines for the initial management of head injury

Affiliations
Comment

New guidelines for the initial management of head injury

Carolyn M Benson et al. BMC Med. .

Abstract

The majority of patients presenting with mild head trauma will have no intracranial pathology and can be safely discharged home. It is estimated that 10% to 15% of these patients will have clinically significant findings on computed tomography imaging and up to 1% may require neurosurgical intervention. The revised Scandinavian Head Trauma Guidelines provide an evidence- and consensus-based algorithm to assist physicians in determining which patients presenting with minimal, mild or moderate blunt head injury are at higher risk for intracranial pathology and thus require neuroimaging and hospital admission. Striking a balance between health care costs and risk of morbidity remains an ongoing challenge and we will present our concerns with this useful, but conservative management algorithm.

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References

    1. Unden J, Ingebrigtsen T, Romner B. Scandinavian guidelines of initial management of minimal, mild and moderate head injuries in adults - an evidence and consensus based update. BMC Medicine. 2013;11:50. doi: 10.1186/1741-7015-11-50. - DOI - PMC - PubMed
    1. Stiell IG, Clement CM, Rowe BH, Schull MJ, Brison R, Cass D, Eisenhauer MA, McKnight RD, Bandiera G, Holroyd B, Lee JS, Dreyer J, Worthington JR, Reardon M, Greenberg G, Lesiuk H, MacPhail I, Wells GA. Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury. JAMA. 2005;294:1511–1518. doi: 10.1001/jama.294.12.1511. - DOI - PubMed
    1. Smits M, Dippel DW, de Haan GG, Dekker HM, Vos PE, Kool DR, Nederkoorn PJ, Hofman PA, Twijnstra A, Tanghe HL, Hunink MG. External validation of the Canadian CT Head Rule and the New Orleans Criteria for CT Scanning in patients with minor head injury. JAMA. 2005;294:1519–1525. doi: 10.1001/jama.294.12.1519. - DOI - PubMed
    1. Papa L, Stiell IG, Clement CM, Pawlowicz A, Wolfram A, Braga C, Draviam S, Wells GA. Performance of the Canadian CT Head Rule and the New Orleans Criteria for predicting any traumatic intracranial injury on computed tomography in a United States level I trauma center. Acad Emerg Med. 2012;19:2–10. doi: 10.1111/j.1553-2712.2011.01247.x. - DOI - PMC - PubMed
    1. Ibañez J, Arikan F, Pedraza S, Sánchez E, Poca MA, Rodriguez D, Rubio E. Reliability of clinical guidelines in the detection of patients at risk following mild head injury: results of a prospective study. J Neurosurg. 2004;100:825–834. doi: 10.3171/jns.2004.100.5.0825. - DOI - PubMed