Screening for and Treatment of Blunt
Cerebrovascular Injuries Algorithm

Risk Factors for Blunt Cerebrovascular Injuries (BCVI)

High energy transfer mechanism associated with:

• Displaced mid-face fracture (LeForte II or III)
• Basilar skull fracture with carotid canal involvement
• Closed head injury consistent with diffuse axonal injury and GCS < 6
• Cervical vertebral body or transverse foramen fracture, subluxation, or ligamentous injury at any level
• Any fracture at C1-C2
• Near hanging with anoxia
• Clothesline type injury or seat belt abrasion with significant swelling, pain or altered mental status