Cranial CT for Minor Head Injury

Most children with a minor head injury (GCS 14-15) have an excellent prognosis, but a small number will deteriorate unexpectedly, and go on to require neurosurgical intervention.  The last decade has seen valiant attempts at trying to define and predict this subgroup of kids who need a cranial CT, to pre-empt this deterioration. Clinical Decision Rules seem to be the fashion when it comes to making...

April 7th, 2011 by colinparker 

Minor Head Injury

A little bump on the head… could cause a lot of trouble for you and me. Minor Head Injury used to mean GCS 13-15, nowadays it means GCS 14-15. This is the vast majority of head injury cases, and therefore we need to be really comfortable with their assessment and management. Plug in and join us as we discover the origins of the 4-hour myth, the creative definition of concussion, and the correct...

March 24th, 2011 by colinparker 

D is for Disability (part 2 of 2)

Severe Head Injury: is any treatment proven to work? Join us as we explore the literature behind currently accepted treatments for serious traumatic brain injury, in particular the role for therapeutic hypothermia. Of all the things we do in the ED for severely head-injured children in the acute phase, the most important are probably to maintain oxygenation and perfusion of the brain.  The evidence...

October 20th, 2010 by colinparker 

D is for Disability (part 1 of 2)

Back to the alphabet! D is for Disability, meaning: clinical assessment of neurologic function or dysfunction… In this episode we talk about the assessment of neurologic status in the unwell or injured child, with particular reference to the Glasgow Coma Scale and its children, being various iterations of a Pediatric GCS. What is the validity and utility of these scales? Are they any more useful...

October 7th, 2010 by colinparker