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  1. The PECARN Pediatric Head Injury/Trauma Algorithm provides the PECARN algorithm for evaluating pediatric head injury.

  2. PECARN Pediatric Minor Head Injury CT Guidelines for Children Age <2 Years. GCS <15 Palpable skull fracture. AMS (agitation, somnolence, slow response, repetitive questioning)

  3. Background: The Pediatric Emergency Care Applied Research Network (PECARN) head trauma clinical decision rules informed the development of algorithms that risk stratify the management of children based on their risk of clinically important trau-matic brain injury (ciTBI).

  4. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study.

  5. The Pediatric Emergency Care Applied Research Network (PECARN) prediction rules risk-stratify children who experience blunt head trauma into those at low, intermediate, and high risk for clinically important traumatic brain injury (ciTBI).

  6. The PECARN is a well-validated clinical decision aid that allows physicians to safely rule out the presence of clinically important traumatic brain injuries among pediatric head injury patients without the need for CT imaging, including those that would require neurosurgical intervention.

  7. Clinical factors used to guide decision-making: Multiple vs. isolated factors Worsening ndings during observation (AMS, headache, vomiting) Physician experience Parental preference. Low Risk – < 0.05%. *ci-TBI: risk of clinically important TBI needing acute intervention, based on PECARN validated prediction rules.

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