Troy has shared with us the B.I G ( brain injury guidelines) criteria for admission and imaging.

See the email below

Hey Team,

    During our retreat, we discussed how our unit is becoming more restrictive in conditions and what is worthy of admission.  Yesterday, Tristine astutely blocked an unworthy admission using the attached BIG criteria.  Today, I spoke to Dr. Lahiri, who said that we HAVE in fact adopted this guideline.  I was not aware these criteria became official; you may be you were in the same boat. So, I thought I'd share. 

See the attached guidelines for your reference.  BIG 3 are the only ones we should admit.

It seems a number of ED MDs are still unaware of this.  Generally, NSGY is aware and agrees, however, some NSGY attending request NICU admissions still.   Trauma too is aware and agrees, as it's being taught in ATLS.

Hope this was helpful

Troy