Lilac City Peds News

Child’s head injury doesn’t always need CT scan

Written By: Walter Hoerman MD - May• 11•11

The use of CT scan in minor head injuries is a difficult subject. Another reason why calling us first when your child has a minor head injury is the way to go.

“Nigrovic said many children show up in ERs with minor head trauma, but very few have significant traumatic brain injuries, identified as a condition resulting in death, brain surgery, use of oxygen tubes for more than 24 hours, or hospital admission for more than two days. She said monitoring symptoms is an effective strategy to reduce CT scans for children considered in the low- to intermediate-risk category.

“We use CT scans for high-risk cases because we don’t want to miss a brain injury,” said Nigrovic. “But if a 3-year-old girl with a headache or vomiting can stay in the ER and be monitored, and if after four hours the symptoms are gone, that’s great. She can go home.”

Child’s head injury doesn’t always need CT scan

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