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Pediatr Emerg Care. 2019 Oct 31. doi: 10.1097/PEC.0000000000001938. [Epub ahead of print]

Risk Stratification of Intermediate-Risk Children With Minor Head Injury.

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From the Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea.


The Pediatric Emergency Care Applied Research Network rule helps emergency physicians identify very low-risk children with minor head injury who can forgo head computed tomography. This rule contributes to reduction in lifetime risk of radiation-induced cancers while minimizing missing clinically important traumatic brain injury. However, in intermediate-risk children, decisions on whether to perform computed tomography remain at the emergency physicians' discretion. To reduce this gray zone, this review summarizes evidence for risk stratification of intermediate-risk children with minor head injury.

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