Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Emergency Medicine


Dr. Tom Colletti, DHSc, PA-C, DFAAPA


The primary purpose for evaluating children with minor traumatic brain injury (mTBI) is to identify those at high risk of intracranial injury (ICI). Brain computed tomography (CT) is the gold standard to identifying ICI. However, ionizing radiation is associated with an increased risk of lethal malignancy. The decision to use head CT scan needs to balance the risk of malignancy against risk of clinically important traumatic brain injury (ciTBI). This clinical review of the management of children two years and older with mTBI written for healthcare professionals in the acute care settings.


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