Hemophilia with Head Trauma Clinical Pathway — Emergency Department

Head Trauma Categorization

Significant	Concerning mechanism Fall from a height (younger children, > 3 ft fall) Fall down stairs Unwitnessed fall MVC with head trauma LOC Altered mental status Headache Nausea, emesis Abnormal neurologic exam
Trivial	Hit lightly on the head with a toy Mild bump against an object
Mild	No apparent injury Baseline mental status

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

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