Infant scalp score

Risk points	Patient age (mo)	Hematoma size	Hematoma location
0	≥12	None	Frontal
1	6 to 11	Small (barely palpable)	Occipital
2	3 to 5	Medium (easily palpable)	Temporal/parietal
3	0 to 2	Large (very easily palpable)

For infants with scalp hematomas, a score of 5 or more is associated with a significant risk of clinically important traumatic brain injury (injury requiring hospitalization for 2 or more nights, intensive intervention, or neurosurgery); a score of 4 or more is associated with a risk of traumatic brain injury on computed tomography (CT).

Reproduced with permission from: Bin SS, Schutzman SA, Greenes DS. Validation of a clinical score to predict skull fracture in head-injured infants. Pediatr Emerg Care 2010; 26:633. DOI: 10.1097/PEC.0b013e3181ef0440. Copyright © 2010 Lippincott Williams & Wilkins. Unauthorized reproduction of this material is prohibited.

Information reaffirmed in: Schutzman SA, Nigrovic LE, Mannix R. The Infant Scalp Score: A Validated Tool to Stratify Risk of Traumatic Brain Injury in Infants With Isolated Scalp Hematoma. Acad Emerg Med 2021; 28:92.

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Infant scalp score