Pediatrics

PECARN Pediatric Head Injury Rule

Decides if CT head is needed after pediatric trauma.

Parameters

PECARN Pediatric Head Injury Rule Result

--
FormulaAlgorithmic clinical decision rule based on high-risk and intermediate-risk factors specific to age <2 and age ≥2.

Clinical Pearls

Crucial for minimizing unnecessary ionizing radiation exposure (which increases lifetime malignancy risk) in pediatric patients who suffer minor head trauma.

Limitations

Only applies to patients with GCS 14 or 15. Cannot be used for patients with trivial injury mechanisms (e.g., running into a stationary object at ground level).