How old is the child?
“For the purposes of this review, we will consider mTBI as a brain injury with a GCS of ≥14 and concussion as a type of mTBI. The choice of GCS score cutoff is based upon criteria used by the Pediatric Emergency Care Applied Research Network (PECARN), which evaluated 42,412 children with mTBI to determine the risk of clinically important TBI (ciTBI) in a low-risk setting. mTBI was defined by GCS scores of ≥14. Of note, patients with a GCS score of ≤13 had a nearly 20% chance of severe TBI, significantly higher than those with a GCS score of 14 to 15, and thus the decision by the many researchers was to not include that group in mTBI.”
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Emergency Department Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion (Trauma CME) | EB Medicine
This issue reviews the most recent literature on mTBI and concussion and provides recommendations for the evaluation, diagnosis, and treatment of mTBI and concussion in the acute setting. Clinical decision rules and their utility in clinical practice will also be discussed