Adult and Pediatric Mild and Moderate Head Injury Management in Scandinavian Countries

Abstract

The Scandinavian Neurotrauma Committee (SNC) was initiated by the Scandinavian Neurosurgical Society to improve the care of neurotrauma patients. The SNC has presented evidence-based guidelines for initial management of minimal, mild, and moderate head injuries. Separate guidelines are presented for children and adults. The biomarker S100β‎ is included in the adult guidelines in an attempt to reduce computed tomography (CT) usage and costs. The aim of the guidelines is to guide physicians in the emergency department during initial management of adult and pediatric patients with minimal, mild, and moderate head injuries, specifically to decide which patients are to receive CT scanning, admission, or discharge from the emergency department.

Evolution of paediatric head trauma patients with CT; The requirement of computed tomography in children with head injury: a cross-sectional study

“…The clinician's suspicion following the anamnesis and the examination is a result of his experience, and this suspicion helps to diagnose many diseases. Findings such as a battle sign, raccoon eye or hemotympanum in head traumas have been shown to be related with a skull base fracture in the literature [14,22]. Apart from this, physical examination findings such as staging of the skull are especially important in suspicion of abuse [22].…”

“…Findings such as a battle sign, raccoon eye or hemotympanum in head traumas have been shown to be related with a skull base fracture in the literature [14,22]. Apart from this, physical examination findings such as staging of the skull are especially important in suspicion of abuse [22]. Pathology is an important result in cranial CTs taken in paediatric patients in head traumas, which are considered to be suspicious skull fractures after anamnesis and examination by physicians.…”