CHALICE Head Injury Rule: Clinical Guide

Clinical guide to CHALICE Head Injury Rule, including calculation, interpretation and limitations.

Screens children after head injury for CHALICE criteria associated with clinically significant intracranial injury.

Overview

Screens children after head injury for CHALICE criteria associated with clinically significant intracranial injury.

Clinical Significance

Use as structured decision support in the validated population.

When to Use

  • Use only when the published eligibility criteria are met.

How It Is Calculated

  • MedicalC applies the published criteria and interpretation bands.

Interpretation

  • Interpret alongside examination, investigations and current guidance.

Worked Example

Enter verified values for every field; MedicalC applies the published method.

Limitations

  • Performance depends on correct eligibility and measurement.

Clinical Pearls

  • Record individual inputs as well as the total result.

Common Mistakes

  • Using the instrument outside its validated population.

Frequently Asked Questions

Can this result be used alone?

No. Integrate it with a complete clinical assessment.

References

  1. Dunning J et al. Arch Dis Child. 2006;91:885-891. — Primary or supporting reference.

Reviewed by: MedicalC Clinical Editorial Team
Last reviewed: July 2026

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