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.