Role of computed tomography in minor pediatric head trauma in Zagazig university hospitals

The objective of this study was to establish a clinical decision-making rule for MHI in children, an extremely common type of injury seen in ED.Children without any of the 6 risk factors in our decision rule are at low risk of ICI and their conditions can be managed with close outpatient observation.Given the numbers of closed head injuries in children, if validated and implemented, this study could affect health care costs by reducing unnecessary CT. Also such reduction will lead to a decrease in radiation exposure, the use of conscious sedation with its associated risks and costs.However, blind application of the rule to all patients with MHI is not recommended. This clinical decision rule should be used as an additional tool to help guide clinicians who are considering cranial CT in child with MHI.