Calc Function

  • Diagnosis
  • Rule Out
  • Prognosis
  • Formula
  • Treatment
  • Algorithm
  • Disease
    Select...
    Specialty
    Select...
    Chief Complaint
    Select...
    Organ System
    Select...

    Canadian CT Head Injury/Trauma Rule

    Rules out need for head CT in minor head trauma.

    INSTRUCTIONS

    Only apply to patients with Glasgow Coma Scale (GCS) 13-15 and at least one of the following:

    • Loss of consciousness.
    • Amnesia to the head injury event.
    • Witnessed disorientation.

    Exclusion criteria:

    • Age <16 years.
    • Blood thinners.
    • Seizure after injury.
    Exclusion Criteria: If any of the following are true, the CCHR does not apply
    High Risk Criteria: Rules out need for neurosurgical intervention
    Medium Risk Criteria: In addition to above, rules out “clinically important” brain injury (positive CT's that normally require admission)

    CT Unnecessary

    The Canadian CT Head Rule suggests a head CT is not necessary for this patient (sensitivity 83-100% for all intracranial traumatic findings, sensitivity 100% for findings requiring neurosurgical intervention).
    Dr. Ian Stiell
    Dr. Ian Stiell
    About the creator

    Ian Stiell, MD, MSc, FRCPC, is Professor and Chair, Department of Emergency Medicine, University of Ottawa; Distinguished Professor and University Health Research Chair, University of Ottawa; Senior Scientist, Ottawa Hospital Research Institute; and Emergency Physician, The Ottawa Hospital. He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules and the conduct of clinical trials involving acutely ill and injured patients treated by prehospital services and in emergency departments. He is best known for the development of the Ottawa Ankle Rule, the Canadian C-Spine Rule, and Canadian CT Head Rule and as the Principal Investigator for the landmark OPALS Studies for prehospital care. Dr. Stiell is the Principal Investigator for 1 of 3 Canadian sites in the Resuscitation Outcomes Consortium (ROC) which is funded by CIHR, NIH, HSFC, AHA, and National Defence Canada. Dr. Stiell is a Member of the Institute of Medicine of the U.S. National Academies of Science.

    To read more about Dr. Stiell's work, visit his website.

    Are you Dr. Ian Stiell? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    • Daniel Runde, MD
    About the Creator
    You might be interested in...
    Partner Content
    Content Contributors
    • Daniel Runde, MD