Clicky

TabletWise.com
Pharmacy Website
Clinic Website
 
 

CHALICE (Children's Head injury ALgorithm for the prediction of Important Clinical Events) Rule

Witnessed loss of Control >5 min
No 0
Yes 1
Amnesia >5 min
Antegrade or retrograde
No 0
Yes 1
Abnormal drowsiness
Abnormal = in excess of drowsiness expected by the examining doctor
No 0
Yes 1
≥3 vomits after head injury
1 vomit = single discrete episode of vomiting
No 0
Yes 1
Suspicion of non‐accidental injury (NAI)
Any suspicion of NAI by the examining doctor
No 0
Yes 1
Seizure followed by head injury (and no previous history of epilepsy)
No 0
Yes 1
A feeling of penetrating or depressed skull injury, or tense fontanelle
No 0
Yes 1
Basal skull fracture signs
Blood or CSF from ear or nose, panda eyes, Battle's sign, hemotympanum, facial crepitus, or serious facial injury
No 0
Yes 1
Positive focal neurologic sign
Any focal neurologic sign (motor, sensory, coordination, or reflex abnormality)
No 0
Yes 1
Bruise, swelling or laceration >5 cm (if <1 year old)
No 0
Yes 1
High‐velocity road traffic accident as pedestrian, cyclist or occupant
High-speed: >40 mph (64 km/h)
No 0
Yes 1
Fall of >3 m in height
No 0
Yes 1
High‐velocity injury from a projectile or an object
No 0
Yes 1
Result:

Background

Result Interpretation

Ranges Ranges