The Canadian CT Head Rule was as sensitive as, but more specific than, the New Orleans Criteria for identifying minor head injury

March 2006
ACP Journal Club;Mar/Apr2006, Vol. 144 Issue 2, p53
Academic Journal
This article reports that the Canadian Computed Tomography Head Rule was as sensitive as, but more specific than, the New Orleans Criteria for identifying minor head injury. 2707 patients of 16 years with blunt head trauma resulting in witnessed loss of consciousness, definite amnesia, or disorientation; initial emergency departments (ED) Glasgow Coma Scale score 13; and injury within the previous 24 hours. Exclusion criteria were no clear history of trauma, obvious penetrating skull injury or depressed skull fracture, focal neurologic deficit, unstable vital signs associated with trauma, seizure before the ED assessment, bleeding disorder or use of oral anticoagulants, reassessment of the same injury, and pregnancy.


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