Decision tool to specify whether a CT after head trauma is indicated. The Canadian CT Head Rule was developed to identify patients at high risk of requiring neurosurgical intervention and clinically important brain injury.
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It has been validated in patients.
. The Canadian CT head rule abbreviated CCTHR or CCHR. In their study of use of computed tomography in patients with minor head injury made every effort to follow up all the patients with head trauma. The Canadian CT Head Rule for Patients with Minor Head Injuries As part of the CanadiEM MVP Infographic Series this post reviews The Canadian CT Head Rule for Patients.
The medium-risk factors were 984 sensitive 95 CI 96-99 and 496 specific for predicting clinically important brain injury and would require only 54 of patients to. PRNewswire-USNewswire -- In a head to head contest between the New Orleans Criteria and the Canadian CT Head Rules the Canadian rules showed higher. The Canadian CT head rule CCTHR is a validated clinical decision rule to determine the need for CT head in adult emergency department patients with minor head.
The Canadian Head CT CHCT rule was developed to guide decision making about the use of CT-head ordering excluding those less than16 years old pregnant on Coumadin suffering. Since then the CCTHR has become the mos. Drug or alcohol intoxication.
Also sometimes referred to as the Canadian Computed Tomography Head Rule is a medical scale used to decide whether patients with minor head injuries should undergo cranial CT scans. The Canadian CT Head Rule. Interpretation We have developed the Canadian CT Head Rule a highly sensitive decision rule.
Dangerous mechanism pedestrian occupant ejected fall from elevation Stiell IG et al. He is best known for the development of the Ottawa Ankle Rule the Canadian C-Spine Rule and Canadian CT Head Rule and as the Principal Investigator for the landmark OPALS Studies for. Clinically important brain injury and would require only 54 of patients to undergo CT.
The Canadian CT head rule is a rapid method of determining which patients need CT imaging upon presentation to the emergency department with head trauma. The objective of the Canadian CT Head Rule Study is to develop an accurate and reliable decision rule for the use of computed tomography CT in patients with minor head injury. Inclusion Criteria GCS 13-15.
More on their comparative performance here. It was originally described by Stiell et al. In a paper published in the Lancet in 2001 in which they initially used it only on patients with Glasgow Coma Scale scores of between 13 and 15.
Medium Risk for Brain Injury on CT 6. Often compared to the New Orleans Criteria. Amnesia before impact 30 min 7.
A noncontrast head CT indicate in head trauma patients with LOC or post-traumatic amnesia only if 1 of following is present.
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