Canadian CT Head Injury/Trauma Rule
Rules out need for head CT in minor head trauma.
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.
CT Unnecessary
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.
- Daniel Runde, MD