Date of Award


Document Type


Degree Name

Master of Medical Science (MMSc)

First Advisor

Kevin Burns, MBA, EMT-P, PA-C


Mild traumatic brain injury is a leading cause of morbidity worldwide. Treatment of mild traumatic brain injuries is dependent upon rapid assessment, which usually occurs before hospital arrival. However, there is limited research on assessment of mild traumatic brain injury in the prehospital setting. One tool that has been valuable in assessing risk of head injuries in hospitals is The Canadian CT Head Rule. However, this metric has not been used in the prehospital setting. We assess whether training in the use of the Canadian CT Head Rule helps prehospital providers stratify risk more effectively after mild traumatic brain injuries. Specifically, via a single blind, randomized controlled trial, we will use risk stratification of patient vignettes to compare training in use of this tool to standard prehospital training. This study may help streamline patient transport decisions and Emergency Department treatment courses while protecting patients from unnecessary radiation and cost.