We see about three quarters of a million pediatric patients annually with traumatic head injury in EDs across North America.

Now, that's a lot of kids.

While most of these kids will be fine, regardless of what we do in the ED, even minor pediatric head injury can be deadly,

investigating is not without risk, and there may be long-term consequences even with minor

barks. The signs can be devilishly subtle. I mean, validated scores include points for, quote,

agitation, irritability, and repetitive questioning. Show me a two-year-old who doesn't do this

at baseline. With me today, we have Sarah Reed, Pediatric EM Doc, at Children's Hospital of Eastern

Ontario in our nation's capital, who brings us her fantastic pediatric EM quick hits

every couple of months, and new to EM cases, pediatric EM researcher and doc also from Ottawa,

Roger Zemick.

Together, we'll unpack pediatric minor head trauma and help you

hone your decision-making skills and confidence when faced with the child who's bonked their

head. Now, whether you're a medical student, resident, or staff doc, you need to have a rock-solid

approach to pick out the high-risk patient with minor head injury, to identify those at-risk

for long-term sequelae, to use imaging responsibly, and to ensure ongoing appropriate care

for the concuss kid after they leave the ED. So, we're going to discuss when it's best to use

the catch-2 rule instead of the pecan rule, if fast MRI has any value, and how to

manage persistent concussion symptoms for the child who was jumping on the bed and fell off,

even if it was his older brother's idea.

Welcome to the Emergency Medicine Cases podcast.

I'm your host, Dr. Anton Hellman, bringing you Canada's

brightest minds in emergency medicine from EMC Studios in Toronto. EM cases is part of Shremi,

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