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National Collaborating Centre for Acute Care (UK). Head Injury: Triage, Assessment, Investigation and Early Management of Head Injury in Infants, Children and Adults. London: National Collaborating Centre for Acute Care (UK); 2007 Sep. (NICE Clinical Guidelines, No. 56.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

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Head Injury: Triage, Assessment, Investigation and Early Management of Head Injury in Infants, Children and Adults.

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Guyatt GH, Rennie D. Users’ guides to the medical literature: a manual for evidence-based clinical practice. Chicago: American Medical Association; 2002.
Department of Health. Hospital episode statistics 2000–2001. London: Department of Health; 2001.
Department of Health. Hospital episode statistics 1999–2000. London: Department of Health; 2001.
Jennett B. Epidemiology of head injury. Archives of Disease in Childhood. 1998;78(5):403–6. [PMC free article: PMC1717568] [PubMed: 9659083]
Kay A, Teasdale G. Head injury in the United Kingdom. World Journal of Surgery. 2001;25(9):1210–20. [PubMed: 11571960]
Society of British Neurological Surgeons. Safe Neurosurgery 2000. London: Society of British Neurological Surgeons; 1999.
Swann IJ, MacMillan R, Strong I. Head injuries at an inner city accident and emergency department. Injury. 1981;12(4):274–8. [PubMed: 7263028]
Johnstone AJ, Zuberi SH, Scobie WG. Skull fractures in children: a population study. Journal of Accident and Emergency Medicine. 1996;13(6):386–9. [PMC free article: PMC1342803] [PubMed: 8947793]
Swann IJ, Teasdale GM. Current concepts in the management of patients with so-called ‘minor’ or ‘mild’ head injury. Trauma. 1999;1(2):143–55.
Briggs M, Clarke P, Crockard A, Cummins B, Galbraith S, Garfield J, et al. Guidelines for initial management after head injury in adults. Suggestions from a group of neurosurgeons. BMJ. 1984;288(6422):983–5. [PMC free article: PMC1442492] [PubMed: 6423173]
Bartlett J, Kett-White R, Mendelow AD, Miller JD, Pickard J, Teasdale G. Guidelines for the initial management of head injuries. Recommendations from the Society of British Neurological Surgeons. British Journal of Neurosurgery. 1998;12(4):349–52. [PubMed: 10070429]
Royal College of Surgeons of England. Report of the working party on the management of patients with head injuries. London: Royal College of Surgeons of England; 1999.
Scottish Intercollegiate Guidelines Network. Early management of patients with a head injury. Edinburgh; Scottish Intercollegiate Guidelines Network: 2000.
Royal College of Radiologists. Making the best use of a Department of Clinical Radiology : guidelines for doctors. London: Royal College of Radiologists; 1998.
Teasdale GM, Murray G, Anderson E, Mendelow AD, MacMillan R, Jennett B, et al. Risks of acute traumatic intracranial haematoma in children and adults: implications for managing head injuries. BMJ. 1990;300(6721):363–7. [PMC free article: PMC1662137] [PubMed: 2106986]
Hassan Z, Smith M, Littlewood S, Bouamra O, Hughes D, Biggin C, et al. Head injuries: a study evaluating the impact of the NICE head injury guidelines. Emergency Medicine Journal: EMJ. 2005;22(12):845–9. [PMC free article: PMC1726640] [PubMed: 16299190]
Miller JD, Tocher JL, Jones PA. Extradural haematoma--earlier detection, better results. Brain Injury. 1988;2(2):83–6. [PubMed: 3167274]
Desmond J. A multicentre study to develop a set of clinical decision rules for the management of head injury in children. University of Manchester; 2001.
Haydel MJ, Preston CA, Mills TJ, Luber S, Blaudeau E, DeBlieux PM. Indications for computed tomography in patients with minor head injury. New England Journal of Medicine. 2000;343(2):100–5. [PubMed: 10891517]
Lloyd DA, Carty H, Patterson M, Butcher CK, Roe D. Predictive value of skull radiography for intracranial injury in children with blunt head injury. Lancet. 1997;349(9055):821–4. [PubMed: 9121256]
Nee PA, Hadfield JM, Yates DW, Faragher EB. Significance of vomiting after head injury. Journal of Neurology, Neurosurgery and Psychiatry. 1999;66(4):470–3. [PMC free article: PMC1736317] [PubMed: 10201418]
Livingston DH, Lavery RF, Passannante MR, Skurnick JH, Baker S, Fabian TC, et al. Emergency department discharge of patients with a negative cranial computed tomography scan after minimal head injury. Annals of Surgery. 2000;232(1):126–32. [PMC free article: PMC1421117] [PubMed: 10862205]
Hofman PA, Nelemans P, Kemerink GJ, Wilmink JT. Value of radiological diagnosis of skull fracture in the management of mild head injury: meta-analysis. Journal of Neurology, Neurosurgery and Psychiatry. 2000;68(4):416–22. [PMC free article: PMC1736859] [PubMed: 10727475]
Richless LK, English K, Heller MB, Rachlin J, McClean P, Auble TE. A prospective evaluation of radiologic criteria for head injury patients in a community emergency department. American Journal of Emergency Medicine. 1993;11(4):327–30. [PubMed: 8216510]
Stiell IG, Wells GA, Vandemheen K, Clement C, Lesiuk H, Laupacis A, et al. The Canadian CT Head Rule for patients with minor head injury. Lancet. 2001;357(9266):1391–6. [PubMed: 11356436]
de Lacey G, McCabe M, Constant O, Welch T, Spinks C, McNally E. Testing a policy for skull radiography (and admission) following mild head injury. British Journal of Radiology. 1990;63(745):14–8. [PubMed: 2306583]
Gorman DF. The utility of post-traumatic skull X-rays. Archives of Emergency Medicine. 1987;4(3):141–50. [PMC free article: PMC1285435] [PubMed: 3689539]
Thillainayagam K, MacMillan R, Mendelow AD, Brookes MT, Mowat W, Jennett B. How accurately are fractures of the skull diagnosed in an accident and emergency department. Injury. 1987;18(5):319–21. [PubMed: 3508875]
Kaste SC, Young CW, Holmes TP, Baker DK. Effect of helical CT on the frequency of sedation in pediatric patients. AJR American Journal of Roentgenology. 1997;168(4):1001–3. [PubMed: 9124104]
Pappas JN, Donnelly LF, Frush DP. Reduced frequency of sedation of young children with multisection helical CT. Radiology. 2000;215(3):897–9. [PubMed: 10831718]
Pickthall C, White S, Eyre JA. Retrospective study of children with minor head injury in the North-East of England [In preparation] 2002. [unpublished data]
Livingston DH, Loder PA, Hunt CD. Minimal head injury: is admission necessary? American Surgeon. 1991;57(1):14–7. [PubMed: 1796791]
Thornhill S, Teasdale GM, Murray GD, McEwen J, Roy CW, Penny KI. Disability in young people and adults one year after head injury: prospective cohort study. BMJ. 2000;320(7250):1631–5. [PMC free article: PMC27407] [PubMed: 10856063]
Haboubi NH, Long J, Koshy M, Ward AB. Short-term sequelae of minor head injury (6 years experience of minor head injury clinic) Disability and Rehabilitation. 2001;23(14):635–8. [PubMed: 11697461]
Levitt MA, Sutton M, Goldman J, Mikhail M, Christopher T. Cognitive dysfunction in patients suffering minor head trauma. American Journal of Emergency Medicine. 1994;12(2):172–5. [PubMed: 8161390]
Powell TJ, Collin C, Sutton K. A follow-up study of patients hospitalized after minor head injury. Disability and Rehabilitation. 1996;18(5):231–7. [PubMed: 8743300]
Kaufman HH. Civilian gunshot wounds to the head. Neurosurgery. 1993;32(6):962–4. [PubMed: 8327099]
Kelly DF, Becker DP. Advances in management of neurosurgical trauma: USA and Canada. World Journal of Surgery. 2001;25(9):1179–85. [PubMed: 11571956]
National Center for Injury Prevention and Control. Traumatic brain injury in the United States : a report to Congress. Atlanta, GA: National Center for Injury Prevention and Control; 1999.
NIH Consensus Development Panel on rehabilitation of persons with traumatic brain injury. JAMA. 1999;282(10):974–83. [PubMed: 10485684]
Lecky FE, Woodford M, Bouamra O, Yates DW. Lack of change in trauma care in England and Wales since 1994. Emerg Med J. 2002;19(6):520–3. [PMC free article: PMC1756315] [PubMed: 12421775]
Crimmins DW, Palmer JD. Snapshot view of emergency neurosurgical head injury care in Great Britain and Ireland. Journal of Neurology, Neurosurgery and Psychiatry. 2000;68(1):8–13. [PMC free article: PMC1760592] [PubMed: 10601392]
Ashkan K, Edwards RJ, Bell BA. Crisis in resources: a neurosurgical prospective. British Journal of Neurosurgery. 2001;15(4):342–6. [PubMed: 11599451]
National Institute for Health and Clinical Excellence. The guidelines manual. London: National Institute for Health and Clinical Excellence; 2007.
National Institute for Health and Clinical Excellence. The guidelines manual. London: National Institute for Health and Clinical Excellence; 2006.
Servadei F, Teasdale G, Merry G. Defining acute mild head injury in adults: a proposal based on prognostic factors, diagnosis, and management. Journal of Neurotrauma. 2001;18(7):657–64. [PubMed: 11497092]
Teasdale G, Murray G, Parker L, Jennett B. Adding up the Glasgow Coma Score. Acta Neurochirurgica Supplementum. 1979;28(1):13–6. [PubMed: 290137]
Hylek EM, Singer DE. Risk factors for intracranial hemorrhage in outpatients taking warfarin. Annals of Internal Medicine. 1994;120(11):897–902. [PubMed: 8172435]
Saab M, Gray A, Hodgkinson D, Irfan M. Warfarin and the apparent minor head injury. Journal of Accident and Emergency Medicine. 1996;13(3):208–9. [PMC free article: PMC1342695] [PubMed: 8733663]
Munro PT, Smith RD, Parke TR. Effect of patients’ age on management of acute intracranial haematoma: prospective national study. BMJ. 2002;325(7371):1001. [PMC free article: PMC131014] [PubMed: 12411357]
Arienta C, Caroli M, Balbi S. Management of head-injured patients in the emergency department: a practical protocol. Surgical Neurology. 1997;48(3):213–9. [PubMed: 9290706]
Stiell IG, Wells GA, Vandemheen KL, Clement CM, Lesiuk H, De Maio VJ, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001;286(15):1841–8. [PubMed: 11597285]
Dunning J. A multicentre study to develop a set of clinical decision rules for the management of head injury in children, Incorporating the CHALICE study: children’s head injury algorithm to predict important clinical events. University of Manchester; 2006.
Cook LS, Levitt MA, Simon B, Williams VL. Identification of ethanol-intoxicated patients with minor head trauma requiring computed tomography scans. Academic Emergency Medicine. 1994;1(3):227–34. [PubMed: 7621201]
Miller EC, Holmes JF, Derlet RW. Utilizing clinical factors to reduce head CT scan ordering for minor head trauma patients. Journal of Emergency Medicine. 1997;15(4):453–7. [PubMed: 9279694]
Jeret JS, Mandell M, Anziska B, Lipitz M, Vilceus AP, Ware JA, et al. Clinical predictors of abnormality disclosed by computed tomography after mild head trauma. Neurosurgery. 1993;32(1):9–15. [PubMed: 8421561]
Brown FD, Brown J, Beattie TF. Why do children vomit after minor head injury? Journal of Accident and Emergency Medicine. 2000;17(4):268–71. [PMC free article: PMC1725410] [PubMed: 10921815]
Pointer JE, Levitt MA, Young JC, Promes SB, Messana BJ, Ader ME. Can paramedics using guidelines accurately triage patients? Annals of Emergency Medicine. 2001;38(3):268–77. [PubMed: 11524646]
Warren A. Paediatric coma scoring researched and benchmarked. Paediatr Nurs. 2000;12(3):14–8. [PubMed: 11220858]
Tatman A, Warren A, Williams A, Powell JE, Whitehouse W. Development of a modified paediatric coma scale in intensive care clinical practice. Arch Dis Child. 1997;77(6):519–21. [PMC free article: PMC1717402] [PubMed: 9496188]
Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2(7872):81–4. [PubMed: 4136544]
James HETDA. The Glasgow Coma Scale. Brain Injuries in Infants and Children. James HE, et al., editors. Orlando, Florida: Grune and Statton; 2007.
Ng SM, Toh EM, Sherrington CA. Clinical predictors of abnormal computed tomography scans in paediatric head injury. Journal of Paediatrics and Child Health. 2002;38(4):388–92. [PubMed: 12174002]
Brain Trauma Foundation, American Association of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury, Management and prognosis of severe traumatic brain injury. Pt 1. New York: Brain Trauma Foundation; 2000.
Garner AA, Schoettker P. Efficacy of pre-hospital interventions for the management of severe blunt head injury. Injury. 2002;33(4):329–37. [PubMed: 12091029]
Hannan EL, Farrell LS, Cooper A, Henry M, Simon B, Simon R. Physiologic trauma triage criteria in adult trauma patients: are they effective in saving lives by transporting patients to trauma centers? Journal of the American College of Surgeons. 2005;200(4):584–92. [PubMed: 15804473]
DiRusso SM, Sullivan T, Risucci D, Nealon P, Slim M. Intubation of pediatric trauma patients in the field: predictor of negative outcome despite risk stratification. Journal of Trauma. 2005;59(1):84–90. [PubMed: 16096544]
Stevenson MD, Oakley PA, Beard SM, Brennan A, Cook AL. Triaging patients with serious head injury: results of a simulation evaluating strategies to bypass hospitals without neurosurgical facilities. Injury. 2001;32(4):267–74. [PubMed: 11325360]
Sethi D, Kwan I, Kelly AM, Roberts I, Bunn F. on behalf of the WHO Pre-Hospital Trauma Care Steering Committee. Advanced trauma life support training for ambulance crews (Cochrane Review) The Cochrane Library, Issue 4. 2002
Wilson S, Cooke M, Morrell R, Bridge P, Allan T. Emergency Medicine Research Group (EMeRG) A systematic review of the evidence supporting the use of priority dispatch of emergency ambulances. Prehospital Emergency Care. 2002;6(1):42–9. [PubMed: 11789649]
O’Cathain A, Turner J, Nicholl JP. The acceptability of an emergency medical dispatch system to people who call 999 to request an ambulance. Emergency Medicine Journal: EMJ. 2002;19(2):160–3. [PMC free article: PMC1725824] [PubMed: 11904272]
Bricolo AP, Pasut LM. Extradural hematoma: toward zero mortality. A prospective study. Neurosurgery. 1984;14(1):8–12. [PubMed: 6694798]
Duus BR, Lind B, Christensen H, Nielsen OA. The role of neuroimaging in the initial management of patients with minor head injury. Annals of Emergency Medicine. 1994;23(6):1279–83. [PubMed: 8198301]
Stein SC, Ross SE. Mild head injury: a plea for routine early CT scanning. Journal of Trauma. 1992;33(1):11–3. [PubMed: 1635094]
Halley MK, Silva PD, Foley J, Rodarte A. Loss of consciousness: when to perform computed tomography? Pediatric Critical Care Medicine. 2004;5(3):230–3. [PubMed: 15115559]
Stein SC, Burnett MG, Glick HA. Indications for CT scanning in mild traumatic brain injury: A cost-effectiveness study. Journal of Trauma. 2006;61(3):558–66. [PubMed: 16966987]
Kelly AB, Zimmerman RD, Snow RB, Gandy SE, Heier LA, Deck MD. Head trauma: comparison of MR and CT--experience in 100 patients. AJNR American Journal of Neuroradiology. 1988;9(4):699–708. [PubMed: 3135716]
af Geijerstam JL, Oredsson S, Britton M. Medical outcome after immediate computed tomography or admission for observation in patients with mild head injury: randomised controlled trial. BMJ. 2006;333(7566):465. [PMC free article: PMC1557917] [PubMed: 16895944]
Norlund A, Marke LA, af Geijerstam JL, Oredsson S, Britton M. Immediate computed tomography or admission for observation after mild head injury: cost comparison in randomised controlled trial. BMJ. 2006;333(7566):469. [PMC free article: PMC1557926] [PubMed: 16895945]
Stiell IG, Wells GA. Methodologic standards for the development of clinical decision rules in emergency medicine. Annals of Emergency Medicine. 1999;33(4):437–47. [PubMed: 10092723]
Stiell IG, Clement CM, Rowe BH, Schull MJ, Brison R, Cass D, et al. Comparison of the Canadian CT Head Rule and the New Orleans Criteria in patients with minor head injury.[see comment] JAMA. 2005;294(12):1511–8. [PubMed: 16189364]
Holmes JF, Baier ME, Derlet RW. Failure of the Miller criteria to predict significant intracranial injury in patients with a Glasgow Coma Scale score of 14 after minor head trauma. Academic Emergency Medicine. 1997;4(8):788–92. [PubMed: 9262697]
Mower WR, Hoffman JR, Herbert M, Wolfson AB, Pollack CV Jr, Zucker MI. Developing a decision instrument to guide computed tomographic imaging of blunt head injury patients. Journal of Trauma. 2005;59(4):954–9. [PubMed: 16374287]
Smits M, Dippel DW, de Haan GG, Dekker HM, Vos PE, Kool DR, et al. 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(12):1519–25. [PubMed: 16189365]
Oman JA, Cooper RJ, Holmes JF, Viccellio P, Nyce A, Ross SE, et al. Performance of a decision rule to predict need for computed tomography among children with blunt head trauma. Pediatrics. 2006;117(2):e238–e246. [PubMed: 16418311]
Haydel MJ, Shembekar AD. Prediction of intracranial injury in children aged five years and older with loss of consciousness after minor head injury due to nontrivial mechanisms. Annals of Emergency Medicine. 2003;42(4):507–14. [PubMed: 14520321]
Palchak MJ, Holmes JF, Vance CW, Gelber RE, Schauer BA, Harrison MJ, et al. A decision rule for identifying children at low risk for brain injuries after blunt head trauma. Ann Emerg Med. 2003;42(4):492–506. [PubMed: 14520320]
Shravat BP, Huseyin TS, Hynes KA. NICE guideline for the management of head injury: an audit demonstrating its impact on a district general hospital, with a cost analysis for England and Wales. Emergency Medicine Journal: EMJ. 2006;23(2):109–13. [PMC free article: PMC2564029] [PubMed: 16439738]
Mower WR, Hoffman JR, Herbert M, Wolfson AB, Pollack CV Jr, Zucker MI. Developing a clinical decision instrument to rule out intracranial injuries in patients with minor head trauma: methodology of the NEXUS II investigation. Annals of Emergency Medicine. 2002;40(5):505–14. [PubMed: 12399794]
Greenes DS, Schutzman SA. Clinical significance of scalp abnormalities in asymptomatic head-injured infants. Pediatric Emergency Care. 2001;17(2):88–92. [PubMed: 11334100]
Greenes DS, Schutzman SA. Clinical indicators of intracranial injury in head-injured infants. Pediatrics. 1999;104(4 Pt 1):861–7. [PubMed: 10506226]
Wang MY, Griffith P, Sterling J, McComb JG, Levy ML. A prospective population-based study of pediatric trauma patients with mild alterations in consciousness (Glasgow Coma Scale score of 13–14) Neurosurgery. 2000;46(5):1093–9. [PubMed: 10807241]
Viccellio P, Simon H, Pressman BD, Shah MN, Mower WR, Hoffman JR. A prospective multicenter study of cervical spine injury in children. Pediatrics. 2001;108(2):E20. [PubMed: 11483830]
Ajani AE, Cooper DJ, Scheinkestel CD, Laidlaw J, Tuxen DV. Optimal assessment of cervical spine trauma in critically ill patients: a prospective evaluation. Anaesthesia and Intensive Care. 1998;26(5):487–91. [PubMed: 9807601]
Berne JD, Velmahos GC, El Tawil Q, Demetriades D, Asensio JA, Murray JA, et al. Value of complete cervical helical computed tomographic scanning in identifying cervical spine injury in the unevaluable blunt trauma patient with multiple injuries: a prospective study. Journal of Trauma. 1999;47(5):896–902. [PubMed: 10568719]
McDonald TW, Franzen MD. A validity study of the WAIT in closed head injury. Brain Injury. 1999;13(5):331–46. [PubMed: 10367144]
Hadley M. Radiographic assessment of the cervical spine in symptomatic trauma patients. Neurosurgery. 2002;50(Suppl):S36–S43. [PubMed: 12431285]
Streitwieser DR, Knopp R, Wales LR, Williams JL, Tonnemacher K. Accuracy of standard radiographic views in detecting cervical spine fractures. Annals of Emergency Medicine. 1983;12(9):538–42. [PubMed: 6614606]
Blackmore CC, Deyo RA. Specificity of cervical spine radiography: Importance of clinical scenario. Emergency Radiology. 1997;4(5):283–6.
Freemyer B, Knopp R, Piche J, Wales L, Williams J. Comparison of five-view and three-view cervical spine series in the evaluation of patients with cervical trauma. Annals of Emergency Medicine. 1989;18(8):818–21. [PubMed: 2757278]
Cohn SM, Lyle WG, Linden CH, Lancey RA. Exclusion of cervical spine injury: a prospective study. Journal of Trauma. 1991;31(4):570–4. [PubMed: 2020043]
Lewis LM, Docherty M, Ruoff BE, Fortney JP, Keltner RA Jr, Britton P. Flexion-extension views in the evaluation of cervical-spine injuries. Annals of Emergency Medicine. 1991;20(2):117–21. [PubMed: 1996789]
Juhl JH, Miller SM, Roberts GW. Roentgenographic variations in the normal cervical spine. Radiology. 1962;78:591–7.
Benzel EC, Hart BL, Ball PA, Baldwin NG, Orrison WW, Espinosa MC. Magnetic resonance imaging for the evaluation of patients with occult cervical spine injury. Journal of Neurosurgery. 1996;85(5):824–9. [PubMed: 8893720]
Klein GR, Vaccaro AR, Albert TJ, Schweitzer M, Deely D, Karasick D, et al. Efficacy of magnetic resonance imaging in the evaluation of posterior cervical spine fractures. Spine. 1999;24(8):771–4. [PubMed: 10222527]
Emery SE, Pathria MN, Wilber RG, Masaryk T, Bohlman HH. Magnetic resonance imaging of posttraumatic spinal ligament injury. Journal of Spinal Disorders. 1989;2(4):229–33. [PubMed: 2520080]
Willis BK, Greiner F, Orrison WW, Benzel EC. The incidence of vertebral artery injury after midcervical spine fracture or subluxation. Neurosurgery. 1994;34(3):435–41. [PubMed: 8190218]
Holmes JF, Akkinepalli R. Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. Journal of Trauma. 2005;58(5):902–5. [PubMed: 15920400]
Nygren de Boussard C, Lundin A, Karlstedt D, Edman G, Bartfai A, Borg J. S100 and cognitive impairment after mild traumatic brain injury. Journal of Rehabilitation Medicine. 2005;37(1):53–7. [PubMed: 15788333]
Brohi K, Healy M, Fotheringham T, Chan O, Aylwin C, Whitley S, et al. Helical computed tomographic scanning for the evaluation of the cervical spine in the unconscious, intubated trauma patient. Journal of Trauma. 2005;58(5):897–901. [PubMed: 15920399]
Bach CM, Steingruber IE, Peer S, Peer-Kühberger, Jaschke W, Ogon M. Radiographic evaluation of cervical spine trauma. Plain radiography and conventional tomography versus computed tomograpphy. Archives of Orthopaedic and Trauma Surgery. 2001;121(7):385–7. [PubMed: 11510902]
Diaz JJ Jr, Gillman C, Morris JA Jr, May AK, Carrillo YM, Guy J. Are five-view plain films of the cervical spine unreliable? A prospective evaluation in blunt trauma patients with altered mental status. Journal of Trauma. 2003;55(4):658–63. [PubMed: 14566119]
Griffen MM, Frykberg ER, Kerwin AJ, Schinco MA, Tepas JJ, Rowe K, et al. Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? Journal of Trauma. 2003;55(2):222–6. [PubMed: 12913629]
Nunez DB Jr, Zuluaga A, Fuentes-Bernardo DA, Rivas LA, Becerra JL. Cervical spine trauma: how much more do we learn by routinely using helical CT? Radiographics. 1996;16(6):1307–18. [PubMed: 8946537]
Schenarts PJ, Diaz J, Kaiser C, Carrillo Y, Eddy V, Morris JA Jr. Prospective comparison of admission computed tomographic scan and plain films of the upper cervical spine in trauma patients with altered mental status. Journal of Trauma. 2001;51(4):663–8. [PubMed: 11586156]
Widder S, Doig C, Burrowes P, Larsen G, Hurlbert RJ, Kortbeek JB. Prospective evaluation of computed tomographic scanning for the spinal clearance of obtunded trauma patients: preliminary results. Journal of Trauma. 2004;56(6):1179–84. [PubMed: 15211122]
Adelgais KM, Grossman DC, Langer SG, Mann FA. Use of helical computed tomography for imaging the pediatric cervical spine. Academic Emergency Medicine. 2004;11(3):228–36. [PubMed: 15001401]
Antevil JL, Sise MJ, Sack DI, Kidder B, Hopper A, Brown CV. Spiral computed tomography for the initial evaluation of spine trauma: A new standard of care? Journal of Trauma. 2006;61(2):382–7. [PubMed: 16917454]
McCulloch PT, France J, Jones DL, Krantz W, Nguyen TP, Chambers C, et al. Helical computed tomography alone compared with plain radiographs with adjunct computed tomography to evaluate the cervical spine after high-energy trauma. Journal of Bone and Joint Surgery American Volume. 2005;87(11):2388–94. [PubMed: 16264112]
Grogan EL, Morris JA Jr, Dittus RS, Moore DE, Poulose BK, Diaz JJ, et al. Cervical spine evaluation in urban trauma centers: lowering institutional costs and complications through helical CT scan. Journal of the American College of Surgeons. 2005;200(2):160–5. [PubMed: 15664088]
Blackmore CC, Ramsey SD, Mann FA, Deyo RA. Cervical spine screening with CT in trauma patients: a cost-effectiveness analysis (Structured abstract) Radiology. 1999;212(1):117–25. [PubMed: 10405730]
Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. New England Journal of Medicine. 2000;343(2):94–9. [PubMed: 10891516]
Stiell IG, Clement CM, McKnight RD, Brison R, Schull MJ, Rowe BH, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. New England Journal of Medicine. 2003;349(26):2510–8. [PubMed: 14695411]
Bandiera G, Stiell IG, Wells GA, Clement C, De MV, Vandemheen KL, et al. The Canadian C-spine rule performs better than unstructured physician judgment. Annals of Emergency Medicine. 2003;42(3):395–402. [PubMed: 12944893]
Dietrich AM, Bowman MJ, Ginn-Pease ME, Kosnik E, King DR. Pediatric head injuries: can clinical factors reliably predict an abnormality on computed tomography? Annals of Emergency Medicine. 1993;22(10):1535–40. [PubMed: 8214831]
Hahn YS, McLone DG. Risk factors in the outcome of children with minor head injury. Pediatric Neurosurgery. 1993;19(3):135–42. [PubMed: 8499326]
Wells RG, Vetter C, Laud PG. Intracranial hemorrhage in children younger than 3 years: prediction of intent. Archives of Pediatrics and Adolescent Medicine. 2002;156(3):252–7. [PubMed: 11876669]
Gentleman D, Jennett B. Audit of transfer of unconscious head-injured patients to a neurosurgical unit. Lancet. 1990;335(8685):330–4. [PubMed: 1967777]
Neuroanaesthesia Society of Great Britain and Ireland, Association of Anaesthetists of Great Britain and Ireland. Recommendations for the transfer of patients with acute head injuries to neurosurgical units. London: Association of Anaesthetists of Great Britain and Ireland; 1996.
Coles JP, Minhas PS, Fryer TD, Smielewski P, Aigbirihio F, Donovan T, et al. Effect of hyperventilation on cerebral blood flow in traumatic head injury: clinical relevance and monitoring correlates. Crit Care Med. 2002;30(9):1950–9. [PubMed: 12352026]
Diringer MN, Yundt K, Videen TO, Adams RE, Zazulia AR, Deibert E, et al. No reduction in cerebral metabolism as a result of early moderate hyperventilation following severe traumatic brain injury. J Neurosurg. 2000;92(1):7–13. [PubMed: 10616076]
Diringer MN, Videen TO, Yundt K, Zazulia AR, Aiyagari V, Dacey RG Jr. et al. Regional cerebrovascular and metabolic effects of hyperventilation after severe traumatic brain injury. J Neurosurg. 2002;96(1):103–8. [PubMed: 11794590]
Neuroanaesthesia Society of Great Britain and Ireland, Association of Anaesthetists of Great Britain and Ireland. Recommendations for the safe transfer of patients with brain injury. London: Association of Anaesthetists of Great Britain and Ireland; 2006.
Patel HC, Bouamra O, Woodford M, King AT, Yates DW, Lecky FE. Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study. Lancet. 2005;366(9496):1538–44. [PubMed: 16257340]
Poon WS, Li AK. Comparison of management outcome of primary and secondary referred patients with traumatic extradural haematoma in a neurosurgical unit. Injury. 1991;22(4):323–5. [PubMed: 1937732]
Härtl R, Gerber LM, Iacono L, Ni Q, Lyons K, Ghajar J. Direct transport within an organized state trauma system reduces mortality in patients with severe traumatic brain injury. Journal of Trauma. 2006;60(6):1250–6. [PubMed: 16766968]
Department of Health. High-Dependency Care for Children - Report of an Expert Advisory Group For the Department of Health. London: Department of Health; 2001.
Department of Health. Domestic Violence: A resource Manual for Health Care Professionals. London: Department of Health; 2000.
Bazarian JJ, Atabaki S. Predicting postconcussion syndrome after minor traumatic brain injury. Academic Emergency Medicine. 2001;8(8):788–95. [PubMed: 11483453]
Mittenberg W, Wittner MS, Miller LJ. Postconcussion syndrome occurs in children. Neuropsychology. 1997;11(3):447–52. [PubMed: 9223149]
Rimel RW, Giordani B, Barth JT, Boll TJ, Jane JA. Disability caused by minor head injury. Neurosurgery. 1981;9(3):221–8. [PubMed: 7301062]
Berg J. Economic evidence in trauma: A review. European Journal of Health Economics. 2004;5(SUPPL 1):S84–91. [PubMed: 15754079]
Worthington AD, Matthews S, Melia Y, Oddy M. Cost-benefits associated with social outcome from neurobehavioural rehabilitation. Brain Injury. 2006;20(9):947–57. [PubMed: 17062426]
Hashimoto K, Nakamura T, Wada I, Yoshida K, Satoh S, Abo M, et al. How great is willingness to pay for recovery from sequelae after severe traumatic brain injury in Japan? Journal of Rehabilitation Medicine. 2006;38(2):141–3. [PubMed: 16546774]
Aronow H. Rehabilitation effectiveness with severe brain injury: translating research into policy. Journal of Head Trauma Rehabilitation. 1987;2:24–36.
Cope N, Hall K. Head injury rehabilitation: benefits of early intervention. Archives of Physical Medicine and Rehabilitation. 1982;63:433–7. [PubMed: 7115044]
Wood RL, McCrea JD, Wood LM, Merrimen RN. Clinical and cost effectiveness of post-acute neurobehavioural rehabilitation. Brain Injury. 1999;13(2):69–88. [PubMed: 10079953]
Ponsford J, Harrington H, Olver J, Roper M. Evaluation of a community-based model of rehabilitation following traumatic brain injury (Provisional record) Neuropsychological Rehabilitation. 2006;16(3):315–28. [PubMed: 16835154]
Ashley MJ, Schultz JD, Bryan VL, Krych DK, Hayes DR. Justification of post-traumatic brain injury rehabilitation using net present value techniques: a case study. Journal of Rehabilitation Outcomes Measurement. 1997;1(5):33–41.
Salazar AM, Warden DL, Schwab K, Spector J, Braverman S, Walter J, et al. Cognitive rehabilitation for traumatic brain injury: A randomized trial. Defense and Veterans Head Injury Program (DVHIP) Study Group. JAMA. 2000;283(23):3075–81. [PubMed: 10865301]
Turner-Stokes L, Wade D. Rehabilitation following acquired brain injury: Concise guidance. Clinical Medicine. 2004;4(1):61–5. [PubMed: 14998270]
Wehman P, Targett P, West M, Kregel J. Productive work and employment for persons with traumatic brain injury: What have we learned after 20 years? Journal of Head Trauma Rehabilitation. 2005;20(2):115–27. [PubMed: 15803036]
Turner-Stokes L. The evidence for the cost-effectiveness of rehabilitation following acquired brain injury. Clinical Medicine. 2004;4(1):10–2. [PubMed: 14998259]
Brain Trauma Foundation, American Association of Neurological Surgeons. Early Indicators of prognosis in severe traumatic brain injury, Management and prognosis of severe traumatic brain injury. Pt 2. New York: Brain Trauma Foundation; 2000.
Royal College of Physicians, British Society of Rehabilitation Medicine. Rehabilitation following acquired brain injury: national clinical guidelines. London: Royal College of Physicians; 2003.
Voss M, Knottenbelt JD, Peden MM. Patients who reattend after head injury: a high risk group. BMJ. 1995;311(7017):1395–8. [PMC free article: PMC2544408] [PubMed: 8520273]
Hadden DS, Dearden CH, Rocke LG. Short stay observation patients: general wards are inappropriate. Journal of Accident and Emergency Medicine. 1996;13(3):163–5. [PMC free article: PMC1342678] [PubMed: 8733648]
Knuckey NW, Gelbard S, Epstein MH. The management of “asymptomatic” epidural hematomas. A prospective study. Journal of Neurosurgery. 1989;70(3):392–6. [PubMed: 2915245]
Shrimpton PC, Edyvean S. CT scanner dosimetry. British Journal of Radiology. 1998;71(841):1–3. [PubMed: 9534691]
Hart D, Wall BF. UK population dose from medical X-ray examinations. Eur J Radiol. 2004;50(3):285–91. [PubMed: 15145489]
Shrimpton PC, Jones DG, Hillier MC, Wall BF, Le Heron JC, Faulkner K. Survey of CT practice in the UK: Part 2: dosimetric aspects. Chilton: National Radiological Protection Board; 1991.
Shrimpton PC. Computer Tomography (CT) Examinations in the UK - 2003 Review. Chilton: National Radiological Protection Board; 2005.
Chan CY, Wong YC, Chau LF, Yu SK, Lau PC. Radiation dose reduction in paediatric cranial CT. Pediatric Radiology. 1999;29(10):770–5. [PubMed: 10525786]
Golding SJ, Shrimpton PC. Commentary. Radiation dose in CT: are we meeting the challenge? British Journal of Radiology. 2002;75(889):1–4. [PubMed: 11806950]
International Commission on Radiological Protection. Managing patient dose in computed tomography. Annals of the ICRP. 2000;30(4):7–45. [PubMed: 11711158]
Hart D, Wall BF. Radiation exposure of the UK population from medical and dental x-ray examinations. Didcot: National Radiological Protection Board; 2002.
Khursheed A, Hillier MC, Shrimpton PC, Wall BF. Influence of patient age on normalized effective doses calculated for CT examinations. Br J Radiol. 2002;75(898):819–30. [PubMed: 12381691]
Wall BF, Kendall GM, Edwards AA, Bouffler S, Muirhead CR, Meara JR. What are the risks from medical X-rays and other low dose radiation? Br J Radiol. 2006;79(940):285–94. [PubMed: 16585719]
International Commission on Radiological Protection. Recommendations of the International Commission on Radiological Protection. 1991.
National Radiological Protection Board. Guidance on the 1990 Recommendations of ICRP. Chilton: National Radiological Protection Board; 1993.
Brenner DJ, Elliston CD, Hall EJ, Berdon WE. Estimates of the cancer risks from pediatric CT radiation are not merely theoretical: comment on “point/counterpoint: in x-ray computed tomography, technique factors should be selected appropriate to patient size. against the proposition” Medical Physics. 2001;28(11):2387–8. [PubMed: 11764047]
Committee on Clinical Practice Guidelines IoM. Guidelines for clinical practice from development to use. Washington DC: National Academy Press; 1992.
Drummond MF, O’Brien B, Stoddart GL, Torrance GW. Methods for the economic evaluation of health care programmes. Oxford: Oxford Medical Publications; 1997.
National Institute for Clinical Excellence. Guidance for manufacturers and sponsors. London: National Institute for Clinical Excellence; 2001.
Weinstein MC, Siegel JE, Gold MR, Kamlet MS, Russell LB. Recommendations of the Panel on Cost-effectiveness in Health and Medicine. JAMA. 1996;276(15):1253–8. [PubMed: 8849754]
Nee PA, Hadfield JM, Yates DW. Biomechanical factors in patient selection for radiography after head injury. Injury. 1993;24(7):471–5. [PubMed: 8406768]
Department of Health. NHS Reference Costs 2005–2006. London: Department of Health; 2006.
Mendelow AD, Campbell DA, Jeffrey RR, Miller JD, Hessett C, Bryden J, et al. Admission after mild head injury: benefits and costs. BMJ. 1982;285(6354):1530–2. [PMC free article: PMC1500491] [PubMed: 6814631]
Royal College of Radiologists Working Party on the Effective Use of Diagnostic Technology. Costs and benefits of skull radiography for head injury. A national study by the Royal College of Radiologists. Lancet. 1981;2(8250):791–5. [PubMed: 6116913]
Royal College of Radiologists Working Party on the Effective Use of Diagnostic Technology. Patient selection for skull radiography in uncomplicated head injury. Lancet. 1983;1(8316):115–8. [PubMed: 6129426]
Ingebrigtsen T, Romner B. Routine early CT-scan is cost saving after minor head injury. Acta Neurologica Scandinavica. 1996;93(2–3):207–10. [PubMed: 8741145]
Shackford SR, Wald SL, Ross SE, Cogbill TH, Hoyt DB, Morris JA, et al. The clinical utility of computed tomographic scanning and neurologic examination in the management of patients with minor head injuries. Journal of Trauma. 1992;33(3):385–94. [PubMed: 1404507]
Stein SC, O’Malley KF, Ross SE. Is routine computed tomography scanning too expensive for mild head injury? Annals of Emergency Medicine. 1991;20(12):1286–9. [PubMed: 1746729]
Riche H, Jourdan C, Chiara Y, Guichard P, Grau A, Deschamps J, et al. Has the development of x-ray computed tomography modified morbidity and mortality of extradural hematoma? 559 cases (1972–1986) Agressologie. 1988;29(4):255–60. [PubMed: 3213864]
Mendelow AD, Karmi MZ, Paul KS, Fuller GA, Gillingham FJ. Extradural haematoma: effect of delayed treatment. BMJ. 1979;1(6173):1240–2. [PMC free article: PMC1598999] [PubMed: 455011]
Seelig JM, Becker DP, Miller JD, Greenberg RP, Ward JD, Choi SC. Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. New England Journal of Medicine. 1981;304(25):1511–8. [PubMed: 7231489]
Bramley R, Whitehouse RW, Taylor PM. The Canadian CT Head Rule for patients with minor head injury: consequences for radiology departments in the U.K. Clinical Radiology. 2002;57(2):151–2. [PubMed: 11977953]
af Geijerstam JL, Britton M, Marke LA. Mild head injury: observation or computed tomography? Economic aspects by literature review and decision analysis. Emergency Medicine Journal: EMJ. 2004;21(1):54–8. [PMC free article: PMC1756360] [PubMed: 14734377]
Fiser SM, Johnson SB, Fortune JB. Resource utilization in traumatic brain injury: the role of magnetic resonance imaging. American Surgeon. 1998;64(11):1088–93. [PubMed: 9798776]
Kaneriya PP, Schweitzer ME, Spettell C, Cohen MJ, Karasick D. The cost-effectiveness of oblique radiography in the exclusion of C7-T1 injury in trauma patients. AJR American Journal of Roentgenology. 1998;171(4):959–62. [PubMed: 9762975]
Tan E, Schweitzer ME, Vaccaro L, Spetell AC. Is computed tomography of nonvisualized C7-T1 cost-effective? Journal of Spinal Disorders. 1999;12(6):472–6. [PubMed: 10598987]
Banit DM, Grau G, Fisher JR. Evaluation of the acute cervical spine: a management algorithm. Journal of Trauma. 2000;49(3):450–6. [PubMed: 11003322]
Frank JB, Lim CK, Flynn JM, Dormans JP. The efficacy of magnetic resonance imaging in pediatric cervical spine clearance. Spine. 2002;27(11):1176–9. [PubMed: 12045514]
Board of the Faculty of Clinical Radiology TRCoR. Clincial radiology: a workforce in crisis. London: Royal College of Radiologists; 2002.
Bylund PO, Bjornstig U. Sick leave and disability pension among passenger car occupants injured in urban traffic. Spine. 1998;23(9):1023–8. [PubMed: 9589541]
London Severe Injury Working Group. Modernising trauma services in London: report and recommendations. 2001. [unpublished data]
Patel HC, Menon DK, Tebbs S, Hawker R, Hutchinson PJ, Kirkpatrick PJ. Specialist neurocritical care and outcome from head injury. Intensive Care Med. 2002;28(5):547–53. [PubMed: 12029400]
Shavelle RM, Strauss DJ, Day SM, Ojdana KA. Life expectancy. Brain injury medicine: principles and practice. Zasler ND, Katz DI, Zafonte RD, editors. Vol. 17. New York, New York: Demos Medical Publishing; 2007. pp. 247–61.
Strauss DJ, Shavelle RM, Ashwal S. Life expectancy and median survival time in the permanent vegetative state. Pediatric Neurology. 1999;21(3):626–31. [PubMed: 10513689]
Shavelle RM, Strauss D, Whyte J, Day SM, Yu YL. Long-term causes of death after traumatic brain injury. American Journal of Physical Medicine and Rehabilitation. 2001;80(7):510–6. [PubMed: 11421519]
Kind P, Dolan P, Gudex C, Williams A. Variations in population health status: results from a United Kingdom national questionnaire survey. BMJ. 1998;316(7133):736–41. [PMC free article: PMC28477] [PubMed: 9529408]
Aoki N, Kitahara T, Fukui T, Beck JR, Soma K, Yamamoto W, et al. Management of unruptured intracranial aneurysm in Japan: a Markovian decision analysis with utility measurements based on the Glasgow Outcome Scale. Medical Decision Making. 1998;18(4):357–64. [PubMed: 10372577]
Tsauo JY, Hwang JS, Chiu WT, Hung CC, Wang JD. Estimation of expected utility gained from the helmet law in Taiwan by quality-adjusted survival time. Accident Analysis and Prevention. 1999;31(3):253–63. [PubMed: 10196602]
Curtis L, Netten A. Unit Costs of Health and Social Care 2006. Canterbury: Personal Social Services Research Unit (PSSRU); 2006.
Nyein K, Turner-Stokes L, Robinson I. The Northwick Park Care Needs Assessment (NPCNA): a measure of community care needs: sensitivity to change during rehabilitation. Clinical Rehabilitation. 1999;13(6):482–91. [PubMed: 10588534]
Davis DP, Vadeboncoeur TF, Ochs M, Poste JC, Vilke GM, Hoyt DB. The association between field Glasgow Coma Scale score and outcome in patients undergoing paramedic rapid sequence intubation. Journal of Emergency Medicine. 2005;29(4):391–7. [PubMed: 16243194]
Hodgkinson DW, Berry E, Yates DW. Mild head injury--a positive approach to management. European Journal of Emergency Medicine. 1994;1(1):9–12. [PubMed: 9422130]
Brookes M, MacMillan R, Cully S, Anderson E, Murray S, Mendelow AD, et al. Head injuries in accident and emergency departments. How different are children from adults? Journal of Epidemiology and Community Health. 1990;44(2):147–51. [PMC free article: PMC1060624] [PubMed: 2370504]
Royal College of Surgeons of England, British Orthopaedic Association. Better care for the severely injured. London: Royal College of Surgeons of England; 2000.
Borczuk P. Predictors of intracranial injury in patients with mild head trauma. Annals of Emergency Medicine. 1995;25(6):731–6. [PubMed: 7755192]
Ciccarese E, Milletti S, Venturoli L. Minor head injury in adults. Results of the application of a guideline. Radiologia Medica. 1998;96(5):480–4. [PubMed: 10051872]
Cigada M, Figini S, Guatteri L, Zaniboni M, Gavazzi A, Iapichino G. Minor head injury: Effects of diagnostic and therapeutic guidelines. Chirurgia. 1999;12(6):405–7.
Culotta VP, Sementilli ME, Gerold K, Watts CC. Clinicopathological heterogeneity in the classification of mild head injury. Neurosurgery. 1996;38(2):245–50. [PubMed: 8869050]
Cummins BH. The management of head injuries. Current Orthopaedics. 1992;6(4):240–4.
Dunham CM, Coates S, Cooper C. Compelling evidence for discretionary brain computed tomographic imaging in those patients with mild cognitive impairment after blunt trauma. Journal of Trauma. 1996;41(4):679–86. [PubMed: 8858028]
Duus BR, Boesen T, Kruse KV, Nielsen KB. Prognostic signs in the evaluation of patients with minor head injury. British Journal of Surgery. 1993;80(8):988–91. [PubMed: 8402098]
Finizio FS, Galassi E. Extradural hematomas in childhood and adolescence. Riv Neuroradiol. 1992;5(SUPPL 1):45–50.
Frush DP, O’Hara SM, Kliewer MA. Pediatric imaging perspective: Acute head trauma - Is skull radiography useful? Journal of Pediatrics. 1998;132(3 pt I):553–4. [PubMed: 9544923]
Gutman MB, Moulton RJ, Sullivan I, Hotz G, Tucker WS, Muller PJ. Risk factors predicting operable intracranial hematomas in head injury. Journal of Neurosurgery. 1992;77(1):9–14. [PubMed: 1607977]
Harad FT, Kerstein MD. Inadequacy of bedside clinical indicators in identifying significant intracranial injury in trauma patients. Journal of Trauma. 1992;32(3):359–61. [PubMed: 1548725]
Herbert ME. Issues in minor head injury: To CT or not to CT, that is the question. Emergency Radiology. 2000;7(1):7–13.
Hsiang JN, Yeung T, Yu AL, Poon WS. High-risk mild head injury. Journal of Neurosurgery. 1997;87(2):234–8. [PubMed: 9254086]
Hung CC, Chiu WT, Lee LS, Lin LS, Shih CJ. Risk factors predicting surgically significant intracranial hematomas in patients with head injuries. Journal of the Formosan Medical Association. 1996;95(4):294–7. [PubMed: 8935297]
Ingebrigtsen T, Trumpy JH, Anke IM. Minor head injuries. May early CT-scanning replace in-hospital observation? Tidsskr Nor Laegeforen. 1995;115(13):1601–3. [PubMed: 7778072]
Kelly AM, Kerr D. Are too many head CT scans ordered in emergency departments? Emergency Medicine. 2000;12(1):50–4.
Livingston DH, Loder PA, Koziol J, Hunt CD. The use of CT scanning to triage patients requiring admission following minimal head injury. Journal of Trauma. 1991;31(4):483–7. [PubMed: 2020033]
Lucchi S, Giua G, Bettinelli A, Farabola M, Sina C, Mangiagalli E, et al. The role of computerized tomography in the management of mild head injury patients. Riv Neuroradiol. 1995;8(3):415–28.
Mikhail MG, Levitt MA, Christopher TA, Sutton MC. Intracranial injury following minor head trauma. American Journal of Emergency Medicine. 1992;10(1):24–6. [PubMed: 1736908]
Miller EC, Derlet RW, Kinser D. Minor head trauma: Is computed tomography always necessary? Annals of Emergency Medicine. 1996;27(3):290–4. [PubMed: 8599485]
Mohanty SK, Thompson W, Rakower S. Are CT scans for head injury patients always necessary? Journal of Trauma. 1991;31(6):801–4. [PubMed: 2056543]
Moran SG, McCarthy MC, Uddin DE, Poelstra RJ. Predictors of positive CT scans in the trauma patient with minor head injury. American Surgeon. 1994;60(7):533–5. [PubMed: 8010569]
Murshid WR. Role of skull radiography in the initial evaluation of minor head injury: a retrospective study. Acta Neurochirurgica. 1994;129(1–2):11–4. [PubMed: 7998489]
Murshid WR. Management of minor head injuries: admission criteria, radiological evaluation and treatment of complications. Acta Neurochirurgica. 1998;140(1):56–64. [PubMed: 9522909]
Nagy KK, Joseph KT, Krosner SM, Roberts RR, Leslie CL, Dufty K, et al. The utility of head computed tomography after minimal head injury. Journal of Trauma. 1999;46(2):268–70. [PubMed: 10029032]
Nelson JB, Bresticker MA, Nahrwold DL. Computed tomography in the initial evaluation of patients with blunt trauma. Journal of Trauma. 1992;33(5):722–7. [PubMed: 1464922]
Otte A, Jeungling FD, Nitzsche EU. Rethinking mild head injury. Journal of Vascular Investigation. 1998;4(1):45–6.
Packard RC. Mild head injury. Headache Q. 1993;4(1):42–52.
Pasman P, Twijnstra A, Wilmink J, Leffers P. The value of skull radiography in patients with head trauma. Journal Belge de Radiologie. 1995;78(3):169–71. [PubMed: 7592277]
Pasman P, Twijnstra A, Wilmink J, Leffers P. Is skull radiography indicated in patients with head injuries? Nederlands Tijdschrift Voor Geneeskunde. 1992;136(48):2370–3. [PubMed: 1461314]
Porchet F. Acute management of mild traumatic brain injury. Schweizer Archiv fur Neurologie und Psychiatrie. 1998;149(2):68–72.
Reinus WR, Zwemer FLJ, Wippold FJ, Erickson KK. Emergency imaging of patients with resolved neurologic deficits: value of immediate cranial CT. AJR American Journal of Roentgenology. 1994;163(3):667–70. [PubMed: 8079865]
Rosenorn J, Duus B, Nielsen K, Kruse K, Boesen T. Is a skull X-ray necessary after milder head trauma? British Journal of Neurosurgery. 1991;5(2):135–9. [PubMed: 1863374]
Savastio G, Golfieri R, Pastore-Trossello M, Venturoli L. Cranial trauma: the predictability of the presentation symptoms as a screening for radiologic study. Radiologia Medica. 1991;82(6):769–75. [PubMed: 1788430]
Schynoll W, Overton D, Krome R, Wesolowski D, Wang AM, Wilson A, et al. A prospective study to identify high-yield criteria associated with acute intracranial computed tomography findings in head-injured patients. American Journal of Emergency Medicine. 1993;11(4):321–6. [PubMed: 8216509]
Servadei F, Vergoni G, Nasi MT, Staffa G, Donati R, Arista A. Management of low-risk head injuries in an entire area: results of an 18-month survey. Surgical Neurology. 1993;39(4):269–75. [PubMed: 8488443]
Servadei F, Ciucci G, Loroni L, Cuscini M, Piola C, Arista A. Diagnosis and management of minor head injury: a regional multicenter approach in Italy. Journal of Trauma. 1995;39(4):696–701. [PubMed: 7473958]
Servadei F, Vergoni G, Staffa G, Zappi D, Nasi MT, Donati R, et al. Extradural haematomas: how many deaths can be avoided? Protocol for early detection of haematoma in minor head injuries. Acta Neurochirurgica. 1995;133(1–2):50–5. [PubMed: 8561036]
Servadei F, Faccani G, Roccella P, Seracchioli A, Godano U, Ghadirpour R, et al. Asymptomatic extradural haematomas. Results of a multicenter study of 158 cases in minor head injury. Acta Neurochirurgica. 1989;96(1–2):39–45. [PubMed: 2648769]
Shaabat AO. Do we need to admit children with minor head injury? Current Pediatric Research. 2001;5(1–2):27–9.
Sharma M, Sharma AK. Mode, presentation, CT findings and outcome of pediatric head injury. Indian Pediatrics. 1994;31(6):733–9. [PubMed: 7896410]
Stein SC, Spettell C, Young G, Ross SE. Limitations of neurological assessment in mild head injury. Brain Injury. 1993;7(5):425–30. [PubMed: 8401484]
Stein SC, Doolin EJ. Management of minor closed head injury in children and adolescents. Pediatric Surgery International. 1995;10(7):465–71.
Stein SC. Management of minor closed head injury. Neurosurgery Quarterly. 1996;6(2):108–15.
Sturloni N, Laudizi L, Venuta A, Venturelli C, Bettelli F, Franceschini L. Head injuries in the pediatric emergency department: a 5-year experience at the Pediatric Clinic of Modena. Pediatria Medica e Chirurgica. 1997;19(1):43–8. [PubMed: 9280908]
Taheri PA, Karamanoukian H, Gibbons K, Waldman N, Doerr RJ, Hoover EL. Can patients with minor head injuries be safely discharged home? Archives of Surgery. 1993;128(3):289–92. [PubMed: 8442684]
Tsai MC, Yang LH, Wu MH. Value of emergency room computed tomographic brain scan in mild head injury patients. Journal Surgical Association Republic of China. 1994;27(2):2278–82.
Uchino Y, Okimura Y, Tanaka M, Saeki N, Yamaura A. Computed tomography and magnetic resonance imaging of mild head injury--is it appropriate to classify patients with Glasgow Coma Scale score of 13 to 15 as “mild injury”? Acta Neurochirurgica. 2001;143(10):1031–7. [PubMed: 11685610]
Vilke GM, Chan TC, Guss DA. Use of a complete neurological examination to screen for significant intracranial abnormalities in minor head injury. American Journal of Emergency Medicine. 2000;18(2):159–63. [PubMed: 10750921]
Viola L, Zotta D, Martino V, Barbato R, Schisano G. Minor head injuries: one year experience according to the new Italian guideline. Acta Neurochirurgica. 2000;142(11):1281–5. [PubMed: 11201644]
Tomei G, Brambilla GL, Delfini R, Servadei F, Ambrosio A, Acampora S, et al. Guidelines for minor head injured patients’ management in adult age. Journal of Neurosurgical Sciences. 1996;40(1):11–5. [PubMed: 8913956]
Adams J, Frumiento C, Shatney-Leach L, Vane DW. Mandatory admission after isolated mild closed head injury in children: is it necessary? Journal of Pediatric Surgery. 2001;36(1):119–21. [PubMed: 11150449]
Benito-Fernandez J, Mintegui-Raso S, Sanchez-Echaniz J, Martinez-Gonzalez MJ, Fernandez-Cuesta MA. Head injuries in children: can clinical features identify patients with high or low risk for intracranial injury? Anales Espanoles de Pediatria. 1998;48(2):122–6. [PubMed: 9577018]
Chan KH, Yue CP, Mann KS. The risk of intracranial complications in pediatric head injury. Results of multivariate analysis. Childs Nervous System. 1990;6(1):27–9. [PubMed: 2311111]
Chan KH, Mann KS, Yue CP, Fan YW, Cheung M. The significance of skull fracture in acute traumatic intracranial hematomas in adolescents: a prospective study. Journal of Neurosurgery. 1990;72(2):189–94. [PubMed: 2295916]
Davis RL, Mullen N, Makela M, Taylor JA, Cohen W, Rivara FP. Cranial computed tomography scans in children after minimal head injury with loss of consciousness. Annals of Emergency Medicine. 1994;24(4):640–5. [PubMed: 8092590]
Davis RL, Hughes M, Gubler KD, Waller PL, Rivara FP. The use of cranial CT scans in the triage of pediatric patients with mild head injury. Pediatrics. 1995;95(3):345–9. [PubMed: 7862471]
Gruskin KD, Schutzman SA. Head trauma in children younger than 2 years: are there predictors for complications? Archives of Pediatrics and Adolescent Medicine. 1999;153(1):15–20. [PubMed: 9894994]
Keskil IS, Baykaner MK, Ceviker N, Kaymaz M. Assessment of mortality associated with mild head injury in the pediatric age group. Childs Nervous System. 1995;11(8):467–73. [PubMed: 7585684]
Levi L, Guilburd JN, Linn S, Feinsod M. The association between skull fracture, intracranial pathology and outcome in pediatric head injury. British Journal of Neurosurgery. 1991;5(6):617–25. [PubMed: 1772608]
Loroni L, Ciucci G, Piccinini G, Cuscini M, Scorza P, Piola C, et al. Approach to head trauma in childhood in a district general hospital. European Journal of Emergency Medicine. 1996;3(3):141–8. [PubMed: 9023492]
Mandera M, Wencel T, Bazowski P, Krauze J. How should we manage children after mild head injury? Childs Nervous System. 2000;16(3):156–60. [PubMed: 10804051]
Murgio A, Patrick PD, Andrade FA, Boetto S, Leung KM, Munoz Sanchez MA. International study of emergency department care for pediatric traumatic brain injury and the role of CT scanning. Childs Nervous System. 2001;17(4–5):257–62. [PubMed: 11398946]
Quayle KS, Jaffe DM, Kuppermann N, Kaufman BA, Lee BC, Park TS, et al. Diagnostic testing for acute head injury in children: when are head computed tomography and skull radiographs indicated? Pediatrics. 1997;99(5):E11. [PubMed: 9113968]
Roddy SP, Cohn SM, Moller BA, Duncan CC, Gosche JR, Seashore JH, et al. Minimal head trauma in children revisited: Is routine hospitalization required? Pediatrics. 1998;101(4 Pt 1):575–7. [PubMed: 9521936]
Schunk JE, Rodgerson JD, Woodward GA. The utility of head computed tomographic scanning in pediatric patients with normal neurologic examination in the emergency department. Pediatric Emergency Care. 1996;12(3):160–5. [PubMed: 8806136]
Shane SA, Fuchs SM. Skull fractures in infants and predictors of associated intracranial injury. Pediatric Emergency Care. 1997;13(3):198–203. [PubMed: 9220506]
Simon B, Letourneau P, Vitorino E, McCall J. Pediatric minor head trauma: indications for computed tomographic scanning revisited. Journal of Trauma. 2001;51(2):231–7. [PubMed: 11493779]
Toupin JM, Lechevallier J, Chaput E, Dacher JN, Le Dosseur P, Proust B, et al. Selective indications of skull radiography after head injury in children. Revue de Chirurgie Orthopedique et Reparatrice de l Appareil Moteur. 1996;82(3):201–7. [PubMed: 9005457]
Nguyen GK, Clark R. Adequacy of plain radiography in the diagnosis of cervical spine injuries. Emergency Radiology. 2005;11(3):158–61. [PubMed: 15568161]
Bachulis BL, Long WB, Hynes GD, Johnson MC. Clinical indications for cervical spine radiographs in the traumatized patient. American Journal of Surgery. 1987;153(5):473–8. [PubMed: 3578669]
Baker C, Kadish H, Schunk JE. Evaluation of pediatric cervical spine injuries. American Journal of Emergency Medicine. 1999;17(3):230–4. [PubMed: 10337876]
Barba CA, Taggert J, Morgan AS, Guerra J, Bernstein B, Lorenzo M, et al. A new cervical spine clearance protocol using computed tomography. Journal of Trauma. 2001;51(4):652–6. [PubMed: 11586154]
Bayless P, Ray VG. Incidence of cervical spine injuries in association with blunt head trauma. American Journal of Emergency Medicine. 1989;7(2):139–42. [PubMed: 2920074]
Borock EC, Gabram SG, Jacobs LM, Murphy MA. A prospective analysis of a two-year experience using computed tomography as an adjunct for cervical spine clearance. Journal of Trauma. 1991;31(7):1001–5. [PubMed: 2072419]
Brillhart J. Which patients with blunt trauma do not require cervical spine x-rays? Journal of Family Practice. 2000;49(10):884–5. [PubMed: 11052156]
Crim JR, Moore K, Brodke D. Clearance of the cervical spine in multitrauma patients: the role of advanced imaging. Seminars in Ultrasound, CT and MR. 2001;22(4):283–305. [PubMed: 11513156]
Davis JW, Phreaner DL, Hoyt DB, Mackersie RC. The etiology of missed cervical spine injuries. Journal of Trauma. 1993;34(3):342–6. [PubMed: 8483172]
Edwards MJ, Frankema SP, Kruit MC, Bode PJ, Breslau PJ, van Vugt AB. Routine cervical spine radiography for trauma victims: Does everybody need it? Journal of Trauma. 2001;50(3):529–34. [PubMed: 11265034]
Ersoy G, Karcioglu O, Enginbas Y, Eray O, Ayrik C. Are cervical spine X-rays mandatory in all blunt trauma patients? European Journal of Emergency Medicine. 1995;2(4):191–5. [PubMed: 9422206]
Fischer RP. Cervical radiographic evaluation of alert patients following blunt trauma. Annals of Emergency Medicine. 1984;13(10):905–7. [PubMed: 6476515]
Ghen MJ, Corso NA. Protocol for diagnosis of the traumatized cervical spine. J Neurol Orthop Med Surg. 1992;13(1):65–7.
Gonzalez RP, Fried PO, Bukhalo M, Holevar MR, Falimirski ME. Role of clinical examination in screening for blunt cervical spine injury. Journal of the American College of Surgeons. 1999;189(2):152–7. [PubMed: 10437836]
Hanson JA, Blackmore CC, Mann FA, Wilson AJ. Cervical spine injury: a clinical decision rule to identify high-risk patients for helical CT screening. AJR American Journal of Roentgenology. 2000;174(3):713–7. [PubMed: 10701614]
Harris JH Jr. What is the minimum number of plain radiographs necessary to evaluate the cervical spine in patients who have had trauma? AJR American Journal of Roentgenology. 1994;163(1):217–8. [PubMed: 8010222]
Harris MB, Kronlage SC, Carboni PA, Robert KQ, Menmuir B, Ricciardi JE, et al. Evaluation of the cervical spine in the polytrauma patient. Spine. 2000;25(22):2884–91. [PubMed: 11074674]
Hoffman JR, Mower WR, Wolfson AB. Absence of 5 clinical criteria ruled out cervical spine injury in blunt trauma in the emergency department. Evidence-Based Medicine. 2001;6(2):63.
Hoffman JR, Mower W. When to image cervical spine injuries. Western Journal of Medicine. 1991;155(3):290. [PMC free article: PMC1002994] [PubMed: 1949785]
Hoffman JR, Wolfson AB, Todd K, Mower WR. Selective cervical spine radiography in blunt trauma: methodology of the National Emergency X-Radiography Utilization Study (NEXUS) Annals of Emergency Medicine. 1998;32(4):461–9. [PubMed: 9774931]
Holliman CJ, Mayer JS, Cook RT Jr, Smith JS Jr. Is the anteroposterior cervical spine radiograph necessary in initial trauma screening? American Journal of Emergency Medicine. 1991;9(5):421–5. [PubMed: 1863294]
Jacobs LM, Schwartz R. Prospective analysis of acute cervical spine injury: a methodology to predict injury. Annals of Emergency Medicine. 1986;15(1):44–9. [PubMed: 3942356]
Jen LH, Sharma V, Shah K, Gor D. The role of spiral CT vs plain films in acute cervical spine trauma: A comparative study. Emergency Radiology. 2001;8(6):311–4.
Keenan HT, Hollingshead MC, Chung CJ, Ziglar MK. Using CT of the cervical spine for early evaluation of pediatric patients with head trauma. AJR American Journal of Roentgenology. 2001;177(6):1405–9. [PubMed: 11717095]
Kreipke DL, Gillespie KR, McCarthy MC, Mail JT, Lappas JC, Broadie TA. Reliability of indications for cervical spine films in trauma patients. Journal of Trauma. 1989;29(10):1438–9. [PubMed: 2509727]
Kriss VM, Kriss TC. Imaging of the cervical spine in infants. Pediatric Emergency Care. 1997;13(1):44–9. [PubMed: 9061737]
Link TM, Schuierer G, Hufendiek A, Peters PE. Fractures of the cervical spine. Diagnosis in multiple trauma patients. Radiologe. 1994;34(12):721–7. [PubMed: 7855242]
Link TM, Schuierer G, Hufendiek A, Horch C, Peters PE. Substantial head trauma: value of routine CT examination of the cervicocranium. Radiology. 1995;196(3):741–5. [PubMed: 7644638]
Maurice S, Brown S, Robertson C, Beggs I. The effect of introducing guidelines for cervical spine radiographs in the accident and emergency department. Journal of Accident and Emergency Medicine. 1996;13(1):38–40. [PMC free article: PMC1342606] [PubMed: 8821225]
McNamara RM, Heine E, Esposito B. Cervical spine injury and radiography in alert, high-risk patients. Journal of Emergency Medicine. 1990;8(2):177–82. [PubMed: 2362120]
McNamara RM, O’Brien MC, Davidheiser S. Post-traumatic neck pain: a prospective and follow-up study. Annals of Emergency Medicine. 1988;17(9):906–11. [PubMed: 3046446]
Mower WR, Hoffman JR, Pollack CV Jr, Zucker MI, Browne BJ, Wolfson AB. Use of plain radiography to screen for cervical spine injuries. Annals of Emergency Medicine. 2001;38(1):1–7. [PubMed: 11423803]
Neifeld GL, Keene JG, Hevesy G, Leikin J, Proust A, Thisted RA. Cervical injury in head trauma. Journal of Emergency Medicine. 1988;6(3):203–7. [PubMed: 3049775]
Panacek EA, Mower WR, Holmes JF, Hoffman JR. Test performance of the individual NEXUS low-risk clinical screening criteria for cervical spine injury. Annals of Emergency Medicine. 2001;38(1):22–5. [PubMed: 11423807]
Pollack CV Jr, Hendey GW, Martin DR, Hoffman JR, Mower WR. Use of flexion-extension radiographs of the cervical spine in blunt trauma. Annals of Emergency Medicine. 2001;38(1):8–11. [PubMed: 11423804]
Ptak T, Kihiczak D, Lawrason JN, Rhea JT, Sacknoff R, Godfrey RR, et al. Screening for cervical spine trauma with helical CT: Experience with 676 cases. Emergency Radiology. 2001;8(6):315–9.
Roberge RJ, Wears RC, Kelly M, Evans TC, Kenny MA, Daffner RD, et al. Selective application of cervical spine radiography in alert victims of blunt trauma: a prospective study. Journal of Trauma. 1988;28(6):784–8. [PubMed: 3385821]
Roberge RJ, Wears RC. Evaluation of neck discomfort, neck tenderness, and neurologic deficits as indicators for radiography in blunt trauma victims. Journal of Emergency Medicine. 1992;10(5):539–44. [PubMed: 1401852]
Rosenberg NM, Schweich PJ, Joffee M, Vinci RJ. Cervical spine injuries: to x-ray or not to x-ray? Pediatric Emergency Care. 1994;10(1):48–50. [PubMed: 8177808]
Ross SE, O’Malley KF, DeLong WG, Born CT, Schwab CW. Clinical predictors of unstable cervical spinal injury in multiply injured patients. Injury. 1992;23(5):317–9. [PubMed: 1644462]
Roth BJ, Martin RR, Foley K, Barcia PJ, Kennedy P. Roentgenographic evaluation of the cervical spine. A selective approach. Archives of Surgery. 1994;129(6):643–5. [PubMed: 8204040]
Saddison D, Vanek VW, Racanelli JL. Clinical indications for cervical spine radiographs in alert trauma patients. American Surgeon. 1991;57(6):366–9. [PubMed: 2048847]
Scharkowski P, Friedrich JM, Arand M, Mutschler W. Cervical spine injuries in head traumas: X-ray diagnosis on the day of the accident. Rofo. 1991;154(6):605–9. [PubMed: 1648762]
Schroder RJ, Vogl T, Hidajat N, Schedel H, Sudkamp N, Haas N, et al. Comparison of the diagnostic value of CT and MRI in injuries of the cervical vertebrae. Aktuelle Radiologie. 1995;5(4):197–202. [PubMed: 7548241]
Williams J, Jehle D, Cottington E, Shufflebarger C. Head, facial, and clavicular trauma as a predictor of cervical-spine injury. Annals of Emergency Medicine. 1992;21(6):719–22. [PubMed: 1590614]
Woodring JH, Lee C. Limitations of cervical radiography in the evaluation of acute cervical trauma. Journal of Trauma. 1993;34(1):32–9. [PubMed: 8437193]
Zabel DD, Tinkoff G, Wittenborn W, Ballard K, Fulda G. Adequacy and efficacy of lateral cervical spine radiography in alert, high-risk blunt trauma patient. Journal of Trauma. 1997;43(6):952–6. [PubMed: 9420111]
Anglen J, Metzler M, Bunn P, Griffiths H. Flexion and extension views are not cost-effective in a cervical spine clearance protocol for obtunded trauma patients. Journal of Trauma. 2002;52(1):54–9. [PubMed: 11791052]
Brady WJ, Moghtader J, Cutcher D, Exline C, Young J. ED use of flexion-extension cervical spine radiography in the evaluation of blunt trauma. American Journal of Emergency Medicine. 1999;17(6):504–8. [PubMed: 10530523]
Clancy MJ. Clearing the cervical spine of adult victims of trauma. Journal of Accident and Emergency Medicine. 1999;16(3):208–14. [PMC free article: PMC1343337] [PubMed: 10353050]
Mirvis SE, Shanmuganathan K. Trauma radiology: Part V. Imaging of acute cervical spine trauma. Journal of Intensive Care Medicine. 1995;10(1):15–33. [PubMed: 10155167]
Palmer SH, Maheson M. A radiological review of cervical spine injuries from an accident and emergency department: has the ATLS made a difference? Journal of Accident and Emergency Medicine. 1995;12(3):189–90. [PMC free article: PMC1342477] [PubMed: 8581244]
Ralston ME, Chung K, Barnes PD, Emans JB, Schutzman SA. Role of flexion-extension radiographs in blunt pediatric cervical spine injury. Academic Emergency Medicine. 2001;8(3):237–45. [PubMed: 11229945]
Tehranzadeh J, Bonk RT, Ansari A, Mesgarzadeh M. Efficacy of limited CT for nonvisualized lower cervical spine in patients with blunt trauma. Skeletal Radiology. 1994;23(5):349–52. [PubMed: 7939833]
West OC, Anbari MM, Pilgram TK, Wilson AJ. Acute cervical spine trauma: diagnostic performance of single-view versus three-view radiographic screening. Radiology. 1997;204(3):819–23. [PubMed: 9280266]
Woods WA, Brady WJ, Pollock G, Kini N, Young JS, Swischuk LE. Flexion-extension cervical spine radiography in pediatric blunt trauma. Emergency Radiology. 1998;5(6):381–4.
Albrecht RM, Kingsley D, Schermer CR, Demarest GB, Benzel EC, Hart BL. Evaluation of cervical spine in intensive care patients following blunt trauma. World Journal of Surgery. 2001;25(8):1089–96. [PubMed: 11571976]
Brooks RA, Willett KM. Evaluation of the Oxford protocol for total spinal clearance in the unconscious trauma patient. Journal of Trauma. 2001;50(5):862–7. [PubMed: 11371842]
D’Alise MD, Benzel EC, Hart BL. Magnetic resonance imaging evaluation of the cervical spine in the comatose or obtunded trauma patient. Journal of Neurosurgery. 1999;91(1 Suppl):54–9. [PubMed: 10419369]
Davis JW, Parks SN, Detlefs CL, Williams GG, Williams JL, Smith RW. Clearing the cervical spine in obtunded patients: the use of dynamic fluoroscopy. Journal of Trauma. 1995;39(3):435–8. [PubMed: 7473904]
Davis JW, Kaups KL, Cunningham MA, Parks SN, Nowak TP, Bilello JF, et al. Routine evaluation of the cervical spine in head-injured patients with dynamic fluoroscopy: a reappraisal. Journal of Trauma. 2001;50(6):1044–7. [PubMed: 11426118]
Gerrelts BD, Petersen EU, Mabry J, Petersen SR. Delayed diagnosis of cervical spine injuries. Journal of Trauma. 1991;31(12):1622–6. [PubMed: 1749033]
Hindman BW, Watkins GE, Song AK. Evaluation of the cervical spine in the obtunded patient. Emergency Radiology. 1998;5(6):391–3.
Holly LT, Kelly DF, Counelis GJ, Blinman T, McArthur DL, Cryer HG. Cervical spine trauma associated with moderate and severe head injury: incidence, risk factors, and injury characteristics. Journal of Neurosurgery. 2002;96(3 Suppl):285–91. [PubMed: 11990836]
Jelly LM, Evans DR, Easty MJ, Coats TJ, Chan O. Radiography versus spiral CT in the evaluation of cervicothoracic junction injuries in polytrauma patients who have undergone intubation. Radiographics. 2000;20 Spec No:S251–259. [PubMed: 11046175]
Katzberg RW, Benedetti PF, Drake CM, Ivanovic M, Levine RA, Beatty CS, et al. Acute cervical spine injuries: prospective MR imaging assessment at a level 1 trauma center. Radiology. 1999;213(1):203–12. [PubMed: 10540663]
Kirshenbaum KJ, Nadimpalli SR, Fantus R, Cavallino RP. Unsuspected upper cervical spine fractures associated with significant head trauma: role of CT. Journal of Emergency Medicine. 1990;8(2):183–98. [PubMed: 2362121]
Malomo AO, Shokunbi MT, Adeloye A. Evaluation of the use of plain cervical spine radiography in patients with head injury. East African Medical Journal. 1995;72(3):186–8. [PubMed: 7796772]
Sees DW, Rodriguez Cruz LR, Flaherty SF, Ciceri DP. The use of bedside fluoroscopy to evaluate the cervical spine in obtunded trauma patients. Journal of Trauma. 1998;45(4):768–71. [PubMed: 9783619]
Dietrich AM, Ginn-Pease ME, Bartkowski HM, King DR. Pediatric cervical spine fractures: predominantly subtle presentation. Journal of Pediatric Surgery. 1991;26(8):995–9. [PubMed: 1919996]
Dwek JR, Chung CB. Radiography of cervical spine injury in children: are flexion-extension radiographs useful for acute trauma? AJR American Journal of Roentgenology. 2000;174(6):1617–9. [PubMed: 10845494]
Laham JL, Cotcamp DH, Gibbons PA, Kahana MD, Crone KR. Isolated head injuries versus multiple trauma in pediatric patients: do the same indications for cervical spine evaluation apply? Pediatric Neurosurgery. 1994;21(4):221–6. [PubMed: 7865406]
Schwartz GR, Wright SW, Fein JA, Sugarman J, Pasternack J, Salhanick S. Pediatric cervical spine injury sustained in falls from low heights. Annals of Emergency Medicine. 1997;30(3):249–52. [PubMed: 9287883]
Asikainen I, Kaste M, Sarna S. Predicting late outcome for patients with traumatic brain injury referred to a rehabilitation programme: a study of 508 Finnish patients 5 years or more after injury. Brain Injury. 1998;12(2):95–107. [PubMed: 9492958]
Barth JT, Macciocchi SN, Giordani B, Rimel R, Jane JA, Boll TJ. Neuropsychological sequelae of minor head injury. Neurosurgery. 1983;13(5):529–33. [PubMed: 6646380]
Bazarian JJ, Wong T, Harris M, Leahey N, Mookerjee S, Dombovy M. Epidemiology and predictors of post-concussive syndrome after minor head injury in an emergency population. Brain Injury. 1999;13(3):173–89. [PubMed: 10081599]
Bazarian J, Hartman M, Delahunta E. Minor head injury: predicting follow-up after discharge from the Emergency Department. Brain Injury. 2000;14(3):285–94. [PubMed: 10759045]
Blakely TA Jr, Harrington DE. Mild head injury is not always mild; implications for damage litigation. Medicine, Science and the Law. 1993;33(3):231–42. [PubMed: 8366786]
Blostein PA, Jones SJ, Buechler CM, Vandongen S. Cognitive screening in mild traumatic brain injuries: analysis of the neurobehavioral cognitive status examination when utilized during initial trauma hospitalization. Journal of Neurotrauma. 1997;14(3):171–7. [PubMed: 9104934]
Cattelani R, Gugliotta M, Maravita A, Mazzucchi A. Post-concussive syndrome: paraclinical signs, subjective symptoms, cognitive functions and MMPI profiles. Brain Injury. 1996;10(3):187–95. [PubMed: 8777390]
Deb S, Lyons I, Koutzoukis C. Neuropsychiatric sequelae one year after a minor head injury. Journal of Neurology, Neurosurgery and Psychiatry. 1998;65(6):899–902. [PMC free article: PMC2170392] [PubMed: 9854967]
Koelfen W, Freund M, Dinter D, Schmidt B, Koenig S, Schultze C. Long-term follow up of children with head injuries-classified as “good recovery” using the Glasgow Outcome Scale: neurological, neuropsychological and magnetic resonance imaging results. European Journal of Pediatrics. 1997;156(3):230–5. [PubMed: 9083767]
Masson F, Vecsey J, Salmi LR, Dartigues JF, Erny P, Maurette P. Disability and handicap 5 years after a head injury: a population-based study. Journal of Clinical Epidemiology. 1997;50(5):595–601. [PubMed: 9180652]
McGregor K, Pentland B. Head injury rehabilitation in the U.K.: an economic perspective. Social Science and Medicine. 1997;45(2):295–303. [PubMed: 9225416]
Millis SR. Assessment of motivation and memory with the Recognition Memory Test after financially compensable mild head injury. Journal of Clinical Psychology. 1994;50(4):601–5. [PubMed: 7983210]
Ogasawara K, Numagami Y, Kitahara M. How mild is mild head injury? A neuropsychiatric study. Brain and Cognition. 2000;44(1):83–6.
Paret G, Barzilai A, Lahat E, Feldman Z, Ohad G, Vardi A, et al. Children’s adaptive behavioural competence after head injury. Neuropsychological Rehabilitation. 1993;3(4):321–40.
Rao N, Rosenthal M, Cronin-Stubbs D, Lambert R, Barnes P, Swanson B. Return to work after rehabilitation following traumatic brain injury. Brain Injury. 1990;4(1):49–56. [PubMed: 2297600]
Ruff RM, Crouch JA, Troster AI, Marshall LF, Buchsbaum MS, Lottenberg S, et al. Selected cases of poor outcome following a minor brain trauma: comparing neuropsychological and positron emission tomography assessment. Brain Injury. 1994;8(4):297–308. [PubMed: 8081345]
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