Closed Head Injuries using the Canadian Scale and New Orleans Criteria for Adult Patients in Rural Areas

**This paper is a Comprehensive non-thesis option paper for Advance Practice Nursing. A meta-analysis of studies on Closed Head Injuries on Adults using the Canadian Rules and New Orleans Criteria.
How would this be effective for use in rural areas where a hospital may not be close, by using these two different criteria how can we be effective with treatment by either sending the patient to the hospital if needed or is the head injury minor they won’t need a CAT scan but only observation and how do we follow up on these patients.
** Use Callista Roy’s Nursing Theory: Adaption Model of Nursing incorporate into paper

1. Developing a Clinical Guideline for CT Scans in Closed Head Injuries Chengyuan Wu & Jack Jallo, JHN Journal trauma
2. Prediction of Intercranial Computed Tomography findings in patients with minor head injuries by using logistic regression Clinical article Soheil Saadat, Seyed Mohammad Ghodsi, Kourosh Kolakouie Naieni, Kavous Firouznia, Mostafa Hosseine, Hamid Reza Kadkhodaie & Hossein Saidi. Journal of Neurosurg Vol III Oct 2009 688-694

3. Performance of the Canadian CT head rule and New Orleans criteria for predicting any traumatic intracranial injury on CT in a United States Level I trauma center Linda Papa, Ian Stiell, Catherine Clement, Artur Pawlowicz, Andrew Wolfram, Carolina Braga, Sameer Draviam & George Wells . Academic Emergency Medicine Jan 2012 Vol 19

4. Clinical Decision Rules for Adults With Minor Head Injury: A systematic Review Sue Harnan, Alastair Pickering, Abdullah Pandor & Steve Goodacre. Journal of Trauma: Injury, Infection and Critical Care Vol 71(1), July 2011 pp. 245-251

5. The neurobehavioral rating scale-revised: sensitivity and validity in closed head injury assessment S.R McCauley, H.S. Levin, M. Vanier, J-M Mazaux, C. Boake, P.R. Goldfader, D. Rockers, M. Butters, D.A. Kareken, J. Lamber & G.L. Clifton. Journal of Neurosurg Psychiatry 2007;71:643-651

6. Comparison of the Canadian CT Head Rule and the New Orleans Criteria in Patients With Minor Head Injury Ian Steill, Catherine Clement, Brian Rowe, Michael Schull, Robert Brison, Danial Cass, Mary Eisenhauer, R. Douglas McKnight, Glen Bandiera, Brian Holroyd, Jacques Lee, Jonathan Dreyer, James Worthington, Mark Beardon, Gary Greenberg, Howard Lesiuk, Iain MacPhail & George Wells JAMA Sept 28, 2005 Vol 294 No 12

#7. Indications for Computed Tomography in Patients with Minor Head Injuries Micelle Haydel, Charles Preston, Trevor Mills, Samuel Luber, Erick Blaudeau & Peter DeBileux. New England Journal Of Med 2000; 343:100-105 July 13, 2000

#8. Indications for brain CT after minor head injury Mahdi Shariff-Alhoseine, Hossein Khodadadi, Mojtaba Chardoli & Vafa Rahimi-Movaghar Journal of Emergencies Trauma and Shock 2011, vol 4 issue 4 pp 472-476

#9. Minor Head Injury: Guidelines for the use of CT- A Multicenter Validation Study Marion Smits, Diederik Dippel, Gija G de Haan, Helena Dekker, Pieter Vos, Digna Kool, Paul Nederkoom, Paul Hofman, Albert Twijnstra, Herve Tanghe & Myriam Hunink Radiology December 2007 245; 831-838

10. External Validation of the Canadian CT Head Rule and the New Orleans Criteria for CT Scanning in Patients with Minor Head injury Marion Smits, Diederik Dippel, Gija G de Haan, Helena Dekker, Pieter Vos, Digna Kool, Paul Nederkoom, Paul Hofman, Albert Twijnstra, Herve Tanghe & Myriam Hunink JAMA 2005; 294(12):1519-1523

*Paper Format
I. Introduction/Summary

a. Medical topic relevance b. Synthesis of medical topic, theory and research/literature to advance practice nursing

II. Synthesis of the following elements:

a. Theoretical nursing Model (use Callista Roy’s Nursing Theory: Adaption Model of Nursing) how this theory can be used with the technology and closed head injuries and nursing i. medical nursing theory concepts

b. Research/Literature i. minimum 5 primary peer reviewed, evidence based articles referenced and summarized
ii. Minimum elements (for each research article) that should present are: number of subjects, methodology, significant findings or pertinent non-significant findings with associated statistical values and implications of the findings for the feasibility or non-feasibility for incorporation into advance practice nursing.

c. Implications to advance practice nursing i. Examples of how the information discussed in the paper will be applied in practice in a rural area (suggested elements are corresponding and applicable to specific topics can include: assessment, holistic approaches, interventions, alternative medicine treatments, referrals utilizing research and evidence based practice.

III. Summary/Conclusion

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