TBI in Children

Traumatic Brain Injury

PECARN approach

Pecarn rule does not apply to:

  • Neuro background e.g.
    • VP shunt
    • Known brain tumour
    • Neurological condition

Pecarn rule does not apply to:

  • Penetrating trauma
  • Bleeding disorder

In those requiring imaging, consider CT cervical spine (discuss with an EM senior).


For those undergoing neurological observations, please use the WPTAS (patients ≥7 years).

Content by Dr Íomhar O' Sullivan. Last review Dr ÍOS 5/04/24.