Comparising Canadian computerized tomography head rule and the New orleans criteria for computerized tomography scanning in patients with minor head injury in emergency service

Background-target: In this study, compliance with the criteria of the Canadian CT Head Rule (CCHR) and New Orleans Criteria (NOC) was sought in patients have minor head trauma in Brain Computerized Tomography (BCT) surveys. It is aimed to contribute to the epidemiological data of our country about mild head trauma. Methods: Patients with Glasgow Coma Scale (GCS) 13-15 who were presented with mild head trauma in 2017 (January-December) to Manisa Celal Bayar University Hospital; Story, physical examination findings, brain computerized tomography results and treatments Hospital Information Management System and patient files were retrospectively reviewed. Findings: The mean age of the patients studied was 41.61±18.67. The proportion of patients older than 60 years was 19% and the proportion of patients older than 65 years was 14%. 70.2% of all patients are male. Patients had GCS: 15 (96.8%), GCS: 14 (3.2%). The proportion of patients with high-energy trauma was 48% and the proportion of patients with low-energy trauma was 52%. The fall from the trauma mechanisms was 32.4%, followed by In Vehicle Traffic Accident with the 31.1%. Head trauma was found to be 12,3% due to beating, 7.4% due to motorcycle accident, 7.2% due to head impact, 5.1% due to high fall, and 4.4% due to In Vehicle Traffic Accident . When all of the patients taken into employment were examined, it was found that there were a loss of consciousness of 4.5%, amnesia of 7%, disorientation of 2.7%, headache of 26.2%, nausea of 3.6%, vomit of 2.3%. At the same time there were alcohol/drug intake of 8%, seizure history of 0,6%, and clavicular injury of 56,7%. Pathology was not detected in 93% of patients who had brain computerized tomography, and pathology was detected in 37%. Conclusion: The use of CCHR criteria is more effective in detecting traumatic neurocranial brain computerized tomography findings in patients presenting with mild head trauma; the use of selective brain computerized tomography reduces the number of brain computerized tomography and thus reduces the cost of healthcare costs, which in turn alleviates the intensity of emergency services and reduces radiation exposure. Key words: Emergency medicine, minor head trauma, brain computerized tomography, CCHR, NOC.