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Denver Screening Criteria for Blunt Cerebrovascular Injury
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Denver Screening Criteria for Blunt Cerebrovascular Injury
, Denver Criteria for BCVI
See Also
Blunt Neck Trauma
Carotid Artery Injury in Blunt Neck Trauma
Vertebral Artery Injury in Blunt Neck Trauma
Indications
Determine need for CT Angiogram of
Neck Vascular Injury in Blunt Force Trauma
Criteria
Signs and symptoms of
Blunt Cerebrovascular Injury
Arterial
Hemorrhage
Cervical
Bruit
Expanding neck
Hematoma
Focal neurologic deficits that do not correlate with
Head CT
findings
Cerbrovascular accident on CT Imaging
Criteria
Risk Factors for
Blunt Cerebrovascular Injury
High energy mechanism of injury
Le Fort II or III mid-face
Fracture
s
Cervical Spine Fracture
s (including subluxations)
Especially
Fracture
s involving transverse foramen or C1-C3
Vertebra
e
Basilar Skull Fracture
and involvement of carotid canal
Other risks
Diffuse Axonal Injury
with GCS <8
Near hanging with anoxic brain injury
Seat Belt Sign
(or other soft tissue neck injury)
Especially if significant associated swelling or
Altered Level of Consciousness
References
Kalsi, Kaufman and Hudson (2018) Crit Dec Emerg Med 32(10): 3-10
Biffl (1999) J Trauma 47(5):845-53 +PMID:10568710 [PubMed]
Biffl (1999) Am J Surg 178(6):517-22 +PMID:10670864 [PubMed]
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