If the patient had a CT and it was abnormal, appropriate neurosurgical or neurologic consultation should follow, with the patient usually being admitted for further observation and management. If a CT was done and was normal, the patient may be safely discharged home, provided the above caretaker requirements are met. Minor TBI in children < 2 years old is a separate topic, not covered in the Practice Parameter. In 2001, Schutzman proposed management guidelines for patients < 2 years old based on certain risk factors. In general, the younger the patient and the greater the severity and number of signs and symptoms, the lower the threshold for imaging. High risk for ICI - CT is recommended with any of the following depressed mental status focal neurologic findings signs of depressed or basilar skull fracture acute skull fracture (< 24 hours old) by clinical exam or xray irritability (not easily consoled) bulging fontanel or seizures vomiting > 5 times or > 6 per hour LOC > 1 minute "Minor" Pages: Previous 1 2 3 4 5 6 Next