[Scandinavian guidelines for management of minimal, mild and moderate head injuries]

Tidsskr Nor Laegeforen. 2000 Jun 30;120(17):1985-90.
[Article in Norwegian]


The Scandinavian Neurotrauma Committee (SNC) was initiated by the Scandinavian Neurosurgical Society to develop evidence-based guidelines for improved care of neurotrauma patients. A MEDLINE search identified 475 papers dealing with the management of minimal, mild and moderate head injuries. Fourty-two studies presenting Class II evidence on the initial management of such injuries were reviewed and management guidelines were developed. Implementation of the Head Injury Severity Scale is advocated. Patients with minimal injuries (no loss of consciousness (LOC), Glasgow Coma Scale (GCS) score 15) can be safely discharged. Routine early CT scan is recommended in cases with mild injuries (history of LOC, GCS 14-15) and patients with normal scans may be discharged. CT scan and admission is mandatory in moderate injuries (GCS < or = 13). All patients harbouring additional risk factors should be scanned and admitted. A flow chart for clinical decision making and a Head Injury Instruction card are introduced.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Consciousness
  • Craniocerebral Trauma* / diagnosis
  • Craniocerebral Trauma* / surgery
  • Craniocerebral Trauma* / therapy
  • Evidence-Based Medicine
  • Glasgow Coma Scale
  • Hematoma / diagnosis
  • Hematoma / surgery
  • Hematoma / therapy
  • Humans
  • Intracranial Hemorrhages / diagnosis
  • Intracranial Hemorrhages / surgery
  • Intracranial Hemorrhages / therapy
  • Monitoring, Physiologic
  • Patient Education as Topic
  • Practice Guidelines as Topic
  • Risk Factors
  • Scandinavian and Nordic Countries
  • Unconsciousness