Predicts need for brain imaging after pediatric head injury.
- In patients with suspected or radiologically-confirmed TBI, first assess ABC’s and consider neurosurgical/ICU consultation or local policies in regards to fluid management, seizure prophylaxis, hypertonic saline/mannitol, disposition, etc.
- Observation for 4-6 hours for those who are not imaged to assess for changes in clinical status.
- Reassurance, Education, and Strict Return Precautions for those discharged without imaging.
- Follow-up with primary care provider or neurologist and Return to Play/School anticipatory guidance if concussion is suspected.