NICE indications for CT scan following traumatic head injury in children

NICE has proposed indications for CT scan following traumatic head injury in children in 2014. The indications are given below:

Any of:
• Suspicion of non-accidental injury
• Post-traumatic seizure
• Glasgow Coma Score (GCS) <14 on arrival at emergency department (<15 for <1 year of age)
• GCS <15 two hours after injury
• Suspected open or depressed skull fracture
• Evidence of basal skull fracture
• Focal neurological deficit
• Presence of bruise or swelling >5 cm in
diameter in children aged <1 year

More than one of:

• Witnessed loss of consciousness >5 minutes
• Abnormal drowsiness
• >2 discrete episodes of vomiting
• Amnesia of >5 minutes
• Dangerous mechanism of injury