CHALICE Predictors of Clinically Significant Head Iniury History - Witnessed LOC > 5min - History of Amnesia >5 min duration - Abnormal drowsiness - >= 3 vomits after head injury - Suspicion of non-accidental injury - Seizure after head injury in a patient with no history of epilepsy Exam - GCS < 14 or GCS < 15 in a patient under 1 year of age - Suspicion for penetrating or depressed skull injury or tense fontanelle - Signs of Basal skull fracture - Presence of a bruise, swelling, or laceration > 5 cm if < 1 year old Mechanism - High speed accident (> 40 mph) as either a pedestrian, cyclist, or occupant - Fall > 3m - High speed injury from projectile or object #CHALICE #Predictors #Traumatic #Brain #Injury #Diagnosis #Peds #Pediatrics
