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Title: Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children.
Authors: Babl, Franz E
Tavender, Emma
Ballard, Dustin W
Borland, Meredith L
Oakley, Ed
Cotterell, Elizabeth
Halkidis, Lambros
Goergen, Stacy
Davis, Gavin A
Perry, David
Anderson, Vicki
Barlow, Karen M
Barnett, Peter
Bennetts, Scott
Bhamjee, Roisin
Cole, Joanne
Craven, John
Haskell, Libby
Lawton, Ben
Lithgow, Anna
Mullen, Glenda
O'Brien, Sharon
Paproth, Michelle
Wilson, Catherine L
Ring, Jenny
Wilson, Agnes
Leo, Grace Sy
Dalziel, Stuart R
Citation: © 2021 Australasian College for Emergency Medicine.
Emerg Med Australas. 2021 Apr;33(2):214-231. doi: 10.1111/1742-6723.13722. Epub 2021 Feb 2.
Abstract: OBJECTIVE: Children frequently present with head injuries to acute care settings. Although international paediatric clinical practice guidelines for head injuries exist, they do not address all considerations related to triage, imaging, observation versus admission, transfer, discharge and follow-up of mild to moderate head injuries relevant to the Australian and New Zealand context. The Paediatric Research in Emergency Departments International Collaborative (PREDICT) set out to develop an evidence-based, locally applicable, practical clinical guideline for the care of children with mild to moderate head injuries presenting to acute care settings. METHODS: A multidisciplinary Guideline Working Group (GWG) developed 33 questions in three key areas - triage, imaging and discharge of children with mild to moderate head injuries presenting to acute care settings. We identified existing high-quality guidelines and from these guidelines recommendations were mapped to clinical questions. Updated literature searches were undertaken, and key new evidence identified. Recommendations were created through either adoption, adaptation or development of de novo recommendations. The guideline was revised after a period of public consultation. RESULTS: The GWG developed 71 recommendations (evidence-informed = 35, consensus-based = 17, practice points = 19), relevant to the Australian and New Zealand setting. The guideline is presented as three documents: (i) a detailed Full Guideline summarising the evidence underlying each recommendation; (ii) a Guideline Summary; and (iii) a clinical Algorithm: Imaging and Observation Decision-making for Children with Head Injuries. CONCLUSIONS: The PREDICT Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children provides high-level evidence and practical guidance for front line clinicians.
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Journal title: Emergency medicine Australasia : EMA
Volume: 33
Pages: 214-231
Publication Date: 2021-04
Type: Journal Article
DOI: 10.1111/1742-6723.13722
Orcid: 0000-0002-1107-2187
Appears in Collections:(a) NT Health Research Collection

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