Am Fam Physician. 2016 Apr 1;93(7):594a-596.
Which clinical signs and symptoms are useful in accurately diagnosing a severe intracranial injury after minor head trauma in adults?
Specific individual risk factors, clinical signs, and symptoms are useful in identifying adults with minor head trauma who are at risk of severe intracranial injury. The absence of all features of the Canadian CT Head Rule and New Orleans Criteria is also highly accurate for identifying adults at low risk of severe injury. (Level of Evidence = 1b)
Adults who appear well and have a Glasgow Coma Scale (GCS) score of 13 or higher after traumatic brain injury are defined as having minor head trauma. These investigators searched Medline and the Cochrane Library, as well as pertinent references from retrieved articles, for English-language studies of adults (18 years or older) with head trauma who presented for evaluation with GCS
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This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.
A collection of POEMs published in AFP is available at http://www.aafp.org/afp/poems.
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