MedBugs: SAQ #449

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Case: Minor head injury in toddler

A toddler is brought to your emergency department after a fall. The exact mechanism is unclear but was reported as a short fall at home. The child cried immediately and is now alert and interacting appropriately. There is a visible scalp swelling.

1. List (3) clinical features that would classify a child as very low risk for clinically important traumatic brain injury (ciTBI) according to the PREDICT guidelines. (3 marks) 3 marks

2. List (3) clinical features that would place the child in the intermediate risk category for ciTBI. (3 marks) 3 marks

3. In a well-appearing child with one intermediate risk factor, outline (3) key considerations influencing your decision to observe rather than perform an immediate CT brain. (3 marks) 3 marks

4. List (3) elements that should be included in discharge instructions for a child with minor head trauma managed without CT. (3 marks) 3 marks

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Case: Minor head injury in toddler

1. List (3) clinical features that would classify a child as very low risk for clinically important traumatic brain injury (ciTBI) according to the PREDICT guidelines. (3 marks) 3 marks

2. List (3) clinical features that would place the child in the intermediate risk category for ciTBI. (3 marks) 3 marks

3. In a well-appearing child with one intermediate risk factor, outline (3) key considerations influencing your decision to observe rather than perform an immediate CT brain. (3 marks) 3 marks

4. List (3) elements that should be included in discharge instructions for a child with minor head trauma managed without CT. (3 marks) 3 marks

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