CT Head Rule is only required for application in patients with minor head injuries who have any one of the following: |
| High risk (for neurologic intervention) |
| GCS score <15 at two hours after injury |
| Suspected open or depressed skull fracture |
| Any sign of basal skull fracture (hemotympanum, “raccoon” eyes, cerebrospinal fluid otorrhoea/rhinorrhea, Battle's sign) |
| Vomiting two episodes |
| Age 65 years |
| Medium risk (for brain injury on CT) |
| Amnesia before impact >30 minutes |
| Dangerous mechanism (pedestrian struck by motor vehicle, occupant ejected from motor vehicle, fall from height >3 feet or five stairs) |
note: Minor head injury is defined as witnessed loss of consciousness, definite amnesia or witnessed disorientation in a patient with a GCS score of 13 to 15. |