#
Traumatic_Brain_Injury(TBI):
1-Minor TBI:
15/15 GCS.
No fractures or Neurological deficits.
Trivial trauma.
#Aproach: no need for imaging, reassure and discharge.
2-
Mild TBI (Concussion): 13-15 GCS.
Vomiting and headche.
Breif loss of consciousness (LOC) <5 minutes.
Considerable trauma.
#Approach either:
1- admission ( 4-6h) if Clinically free u can discharge and instruct the patient to seek medical advice if any new symptoms appear.
2- CT non contrast: if no improvement or symptoms are worsening.
3- Serious TBI: GCS < 13.
Prolonged LOC.
Fracture base of the skull.
Focal Neurological deficit.
Seziures.
#Approach: Non contrast CT + Neurosurgical consultation.
We don't like to use CT in pediatrics why? Risk of Cancer from CT related radiation #Increases with #Decreasing age.
#
Source:
UWORLD neurology.
