Is There a Need for an Observation Period in the Emergency Department after Mild Accidental Pediatric Blunt Head Injury?
2 ; 1 ; in Month : January (2020) Article No : sjtemac-v2-1006
Long RA, Diesen D, Robertson B, Leonard D, Nesiama
1. Introduction: The primary aim of this study was to determine the prevalence of a clinical status change during the ED observation period requiring a change in disposition.
2. Methods and Materials: This IRB approved prospective observational cohort study enrolled patients aged birth to 15 years old being evaluated within 6 hours of accidental blunt head injury with a Glasgow Coma Scale (GCS) >14 and normal neurological examination. The medical record was reviewed for a change in clinical status during the ED observational period.
3. Results: One hundred and twenty patients were enrolled into this study. One patient had a clinical status change (emesis) during the ED observation period representing a 0.8% clinical status change. No patient regardless of observation length or intervention(s) chosen by the provider had a change in disposition.
4. Conclusions: In this study, children presenting to the ED after accidental pediatric blunt head injury with a GCS >14 and a normal neurological examination had a minimal risk of a change in disposition during an ED observation period.
5. Key Words: Head injury, blunt head trauma, PECARN head trauma guidelines, non-accidental head injury
Full Text Attachment
Views : 10 Downloads : 0