caa a22 4500 475842057 CHVBK 20180406123903.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s101400050003 doi (NATIONALLICENCE)springer-10.1007/s101400050003 Herbert M. E. Department of Emergency Medicine, Olive View - UCLA Medical Center, 14445 Olive View Dr. - North Annex, UCLA School of Medicine, Sylmar, CA 91342, USA e-mail: mherbert@ucla.edu Tel.: + 1-8 18-3 64 39 95 Fax: + 1-818-3643268), US aut Issues in minor head injury: to CT or not to CT, that is the question [Elektronische Daten] [M. E. Herbert] Each year, approximately five million patients present to US Emergency Departments (EDs) with minor head injuries (MHI). Most of these patients have insignificant injuries that require no specific therapy. However, a small fraction have serious injuries that are amenable to treatment. Neuroimaging can reliably detect clinically significant injuries, but making a logical decision about the need for neuroimaging in a given patient is a complex process that involves multiple clinical variables. To date, no one has identified exactly which characteristics are reliable in predicting (or excluding) the need for emergent radiographic imaging. This review highlights the issues surrounding the decision to perform neuroimaging in MHI, including modality of choice, consequences of "missed injuries,” and current data on risk stratification and attempts to identify "low-risk” patients. American Society of Emergency Radiology, 2000 https://doi.org/10.1007/s101400050003 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s101400050003 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Herbert M. E. Department of Emergency Medicine, Olive View - UCLA Medical Center, 14445 Olive View Dr. - North Annex, UCLA School of Medicine, Sylmar, CA 91342, USA e-mail: mherbert@ucla.edu Tel.: + 1-8 18-3 64 39 95 Fax: + 1-818-3643268), US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer