Blunt<unk><unk>  causing loss of consciousness, amnesia, or disorientation
GCS 13-15
Age ≥ 16yr
No coagulopathy nor on anti-coagulation
No seizure<unk>  CT not required if NONE of the following are present
Age ≥ 65 years
Vomiting > 2 episodes
Suspected open or depressed Skull Fracture
Signs suggesting basal skull fracture:
Hemotympanum
Racoon eyes
CSF otorrhea or rhinorrhea
Battle's sign (bruising around mastoid process)
GCS < 15 at 2 hours post injury
Retrograde Amnesia > 30min
Dangerous mechanism
Pedestrian struck by vehicle
Ejection from motor vehicle
Fall from elevation >3 feet or 5 stairs
Hemotympanum
Racoon eyes
CSF otorrhea or rhinorrhea
Battle's sign (bruising around mastoid process)
Pedestrian struck by vehicle
Ejection from motor vehicle
Fall from elevation >3 feet or 5 stairs
Clinical decision rules for head CT in trauma
Prehospital protocol pediatric seizure
ECGs by Diagnosis
ECG Stampede
Prehospital protocol pediatric anaphylaxis
Prehospital protocol pediatric respiratory failure
Prehospital protocol pediatric airway obstruction
Prehospital protocol breathing difficulty 