Canadian CT Head Rule High risk (for neurosurgical interventions) | New Orleans Criteria |
---|---|
• GCS score, 15 at two hours after injury | • Headache |
• Suspected open or depressed skull fracture | • Vomiting |
• Any sign of basal skull fracture (hemotympanum, “panda” eyes, cerebrospinal fluid otorrhoea, Battle’s sign). | • Older than 60 years |
• Vomiting more than once | • Drug or alcohol intoxication |
• Age >65 years | • Persistent anterograde amnesia (deficits in short-term memory) |
Medium risk (for brain injury on CT) | |
• Persistent retrograde amnesia of greater than 30 minutes | • Visible trauma above the clavicle |
• Dangerous mechanism of injury (pedestrian struck by vehicle, ejection from vehicle, fall from greater than three feet or five stairs) | • Seizure |