St. Paul's Hospital Emergency Department The Continuous Pursuit of Excellence in Patient Care and Academic Emergency Medicine

A California study that found that a detailed clinical exam had no diagnostic value in detecting intra-cranial injuries found on CT scan.  They make the following recommendation: Patients with observed loss of consciousness or amnesia and Glasgow Coma Scale 13–15 should have a head computed tomography scan as part of their evaluation to avoid missing an intracranial injury. Pediatr Crit Care Med 2004; 5:230 –233. (Link)