Schutzman et al reported criteria for the diagnosisof an isolated scalp hematoma. These are a modification of definitions from PECARN. The authors are from Boston Children's Hospital and Harvard Medical School.

Patient selection: infant less than 1 year of age with a scalp hematoma within 24 hours of a blunt head injury


Criteria - all of the following:

(1) no loss of consciousness

(2) acting normally

(3) pediatric GCS 15

(4) no evidence of an alteration in consciousness

(5) no signs of a basilar skull fracture

(6) no neurologic deficits

(7) no vomiting following the head trauma

(8) no seizures following the head trauma

(9) no bulging of a fontanelle

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