Peds Head Trauma: PECARN

Pediatric Head Trauma Algorithm

When do you just observe a child vs. CT scan after head trauma?

PECARN: Lancet, 2009.

Algorithm is different based on >2 yo and <2 yo.

<2 yo:
if palpable skull fracture, AMS
If occipital or parietal or temporal scalp hematoma, hx of LOC >5 secs, or severe mechanism

Severe mechanism of injury: MVA with ejections, death of another passenger, or rollover; pedestrian or bicyclist without helmet struck by car; falls >3 ft; head struck by high impact object.