CHALICE Audit
Pediatric TBI Decision Support
Red Flag Manifest
History Criteria
LOC >5 mins, Amnesia >5 mins, Abnormal drowsiness, ≥3 vomits, Suspicion of non-accidental injury, or Post-traumatic seizure.
Examination Criteria
GCS <14 (or <15 if age <1yr), Suspected skull fracture, signs of basal fracture, or large head swelling (>5cm if age <1yr).
Mechanism Criteria
High-speed RTA (>40 mph / 65 kmh), Fall from >3 meters height, or high-speed projectile injury to the head.
Trial Standard
The CHALICE rule is the UK standard for pediatric head trauma, balancing diagnostic sensitivity with radiation stewardship.
Pediatric Sentinel Probe
Evaluate history, examination, and mechanism criteria to determine radiological indications for pediatric head trauma based on the CHALICE algorithm.
Verified
Last Review: 2026
Last Comprehensive Review: 2026