Clinical Decision Tool

    PECARN Head Trauma Rules

    Evidence-based clinical decision rules for identifying children at very low risk of clinically important traumatic brain injuries. Validated on over 42,000 patients.

    Why PECARN Rules Matter for Legal Cases

    The PECARN Head Trauma Rules are not suggestions—they represent the accepted standard of care for pediatric head injury evaluation. When emergency physicians deviate from these validated criteria without proper documentation, it may constitute a potential standard of care violation.

    Validated Evidence
    42,000+ patient study
    Standard of Care
    Widely accepted protocol
    Legal Significance
    Expert witness testimony

    Download Complete Guidelines

    Children Under 2 Years

    Specific criteria and decision algorithms for infants and toddlers

    Key Criteria Include:
    • • Normal mental status
    • • No scalp hematoma (except frontal)
    • • No loss of consciousness ≥5 seconds
    • • Non-severe injury mechanism
    • • No palpable skull fracture
    • • Acting normally per parents

    Children 2-18 Years

    Decision rules for children, adolescents, and young adults

    Key Criteria Include:
    • • Normal mental status (GCS 15)
    • • No loss of consciousness
    • • No vomiting
    • • Non-severe injury mechanism
    • • No severe headache
    • • No signs of basilar skull fracture

    Need Expert Analysis of Your PECARN Case?

    Get professional medical expert analysis to determine if PECARN violations occurred in your pediatric head injury case.