In all children presenting with mild to moderate head injury, the possibility of abusive head trauma should be considered.Ĭonsultation with a neurosurgical service should occur in all cases of intracranial injury or skull fracture shown on a head CT scan, other than in infants and children with an isolated, non-displaced, linear skull fracture on a head CT scan without intracranial injury and a GCS score of 15. 5Ĭhildren aged less than 2 years with a suspected or identified isolated, non-displaced, linear skull fracture should have a medical follow-up within 1–2 months to assess for a growing skull fracture. 3Ĭonsultation with a neurosurgical service may not be routinely required for infants and children with an isolated, non-displaced, linear skull fracture on a head CT scan without intracranial injury and a GCS score of 15. 3Ĭhildren with trivial head injury 4 do not need to attend hospital for assessment they can be safely managed at home. occipital or parietal or temporal scalp haematoma (in children aged less than 2 years only).not acting normally, including abnormal drowsiness, increasing agitation, restlessness orĬombativeness (in children aged less than 2 years, not acting normally as deemed by a parent).presumed skull fracture (palpable fracture, ‘raccoon eyes’ or Battle’s signs).double vision, ataxia, clumsiness or gait abnormality.Children with head injury should be assessed in a hospital setting if the mechanism of injury was severe 1 or if they develop the following signs or symptoms within 72 hours of injury:
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