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Triage Q1In infants and children with mild to moderate head injury presenting within 72 hours of injury, are there pre-hospital clinical criteria to determine which children should be assessed in a hospital setting?
Triage Q2In infants and children presenting with mild to moderate head injury within 72 hours of injury and a radiologically proven traumatic intracranial lesion, which patients require (i) a neurosurgical consultation and/or (ii) transfer?
Imaging Q1In infants and children with mild to moderate head injury presenting i) within 24 hours, or ii) between 24 and 72 hours, of injury what are the clinical criteria and/or clinical decision rule(s) that best determine who needs/ does not need a cranial CT?
Imaging Q2In infants and children with a ventricular shunt and mild to moderate head injury presenting within 72 hours of injury, which should undergo i) a cranial CT and/or ii) a shunt series and/or iii) a period of observation?
Imaging Q3In infants and children on anticoagulant or antiplatelet therapy, or with a known bleeding disorder and mild to moderate head injury presenting within 72 hours of injury, which should undergo a i) cranial CT and/or ii) a period of observation?
Imaging Q4In infants and children with a neurodevelopmental disorder and mild to moderate head injury presenting within 72 hours of injury, which should undergo a i) cranial CT and/or ii) a period of observation?
Imaging Q5In children with mild to moderate head injury who are drug or alcohol intoxicated presenting within 72 hours of injury, which should undergo a i) cranial CT and/or ii) a period of observation?
Imaging Q6 (a)In infants and children with mild to moderate head injury presenting within 72 hours of injury who does/does not require an initial cranial CT, what are the clinical criteria and/or clinical decision rule(s) that best determine who needs/does not need a period of observation?
Imaging Q6 (b)In infants and children with mild to moderate head injury presenting within 72 hours of injury who do not receive an initial cranial CT, but received a period of observation, what is the optimal frequency of reassessment and duration of observation?
Imaging Q7 (a)In infants and children with mild to moderate head injury presenting within 72 hours of injury and a negative initial cranial CT for radiologically proven traumatic intracranial lesion, what are the clinical criteria and/or clinical decision rule(s) that best determine who needs/does not need a period of observation?
Imaging Q7 (b)In infants and children with mild to moderate head injury presenting within 72 hours of injury and a negative initial cranial CT for a radiologically proven traumatic intracranial lesion, who received a period of observation, what is the optimal frequency of reassessment and duration of observation?
Imaging Q8In infants and children with mild to moderate head injury and a negative initial cranial CT or MRI for an intracranial injury with persistent symptoms, who should undergo repeat neuroimaging?
Imaging Q9In infants and children with mild to moderate head injury, presenting within 72 hours of injury with suspected NAI, i) who should undergo cranial imaging and ii) which modality should be used for initial imaging?
Imaging Q10In infants and children with mild to moderate head injury presenting within 72 hours of injury, what are the clinical criteria and/or clinical decision rule(s) that best determine who should undergo a skull x-ray prior to, or in lieu of a cranial CT?
Imaging Q11In infants and children with mild to moderate head injury presenting within 72 hours of injury, what are the clinical criteria and/or clinical decision rule(s) that best determine who should undergo ultrasound of the skull in the ED prior to, or in lieu of, a cranial CT?
Imaging Q12In infants with mild to moderate head injury presenting within 72 hours of injury, what are the clinical criteria and/or clinical decision rule(s) that best determine who should undergo a transfontanelle cerebral ultrasound in the ED prior to, or in lieu of a cranial CT?
Imaging Q13In infants and children with mild to moderate head injury presenting within 72 hours of injury, what are the clinical criteria and/or clinical decision rule(s) that best determine who should undergo MRI in lieu of a cranial CT?
Imaging Q14In infants and children with mild to moderate head injury presenting within 72 hours of injury, what are the clinical criteria and/or clinical decision rule(s) that best determine who should undergo biomarker testing prior to a cranial CT?
Imaging Q15In infants and children with mild to moderate head injury presenting within 72 hours of injury who undergo a cranial CT scan, what are the i) appropriate CT protocols/techniques and/or ii) to what extent should the cervical spine be included in the imaging?
Discharge Q1In infants and children with mild to moderate head injury presenting within 72 hours of injury, what are the clinical criteria and pragmatic considerations (distance/time to travel, capacity to contact hospital) required for safe discharge from the ED or hospital?
Discharge Q2 (a)In infants and children with mild to moderate head injury discharged from the ED or hospital presenting within 72 hours of injury, what discharge advice should be provided concerning an acute intracranial injury?
Discharge Q2 (b)In infants and children with mild to moderate head injury discharged from the ED or hospital presenting within 72 hours of injury, what discharge advice should be provided concerning possible post concussive symptoms?
Discharge Q3In infants and children with mild to moderate head injury presenting within 72 hours of injury and discharged from the ED or hospital without evidence of radiologically proven traumatic intracranial lesion, which require follow-up for an acute intracranial injury?
Discharge Q4 (a)In In infants and children with mild to moderate head injury presenting within 72 hours of injury and discharged from the ED or hospital, which require follow-up for post concussive symptoms?
Discharge Q (b)In infants and children with mild to moderate head injury presenting within 72 hours of injury and discharged from the ED or hospital, that require follow up for post concussive symptoms, what type of follow-up should it be?
Discharge Q4 (c)In infants and children with mild to moderate head injury presenting within 72 hours of injury and discharged from the ED or hospital, that require follow up for post concussive symptoms, when should they be followed-up?
Discharge Q5 (a)In infants and children with mild to moderate head injury discharged from the ED or hospital, what discharge advice concerning return to sport should be provided to children and their caregivers?
Discharge Q5 (b)In infants and children with mild to moderate head injury discharged from the ED or hospital, what discharge advice concerning physical activity or play should be provided to children and their caregivers?
Discharge Q5 (c)In infants and children with mild to moderate head injury discharged from the ED or hospital, what discharge advice concerning return to school and cognitive activity should be provided to children and their caregivers?
Discharge Q5 (d)In infants and children with mild to moderate head injury discharged from the ED or hospital, what discharge advice concerning screen time should be provided to children and their caregivers?
Discharge Q5 (e)In infants and children with mild to moderate head injury discharged from the ED or hospital, what discharge advice concerning return to driving/operating machinery should be provided to children and their caregivers?
Discharge Q5 (f)In infants and children with mild to moderate head injury discharged from the ED or hospital, what information/advice should be provided to the child’s school?
Discharge Q5 (g)In children diagnosed with repeat concussion who are discharged from the ED or hospital, what distinct discharge advice should be provided to children and their caregivers?