Is cranial computed tomography unnecessary in children with a head injury and isolated vomiting?
@article{Hardman2019IsCC, title={Is cranial computed tomography unnecessary in children with a head injury and isolated vomiting?}, author={S. Hardman and O. Rominiyi and D. King and Edward Snelson}, journal={BMJ}, year={2019}, volume={365} }
### What you need to know
Nearly 35 000 children in the United Kingdom present to emergency departments with head injuries each year.1 These are largely minor injuries with normal or minimally impaired consciousness level. Around 5% have intracranial complications with approximately 1% having clinically important traumatic brain injuries (box 1).12
Box 1
### Definitions
#### TBI-CT—Traumatic brain injury on CT2
Head injury with any of the following signs on CT:
#### ci-TBI — Clinically… CONTINUE READING
Topics from this paper
6 Citations
Use of CT in children with minor head injuries with isolated vomiting
- Medicine
- Archives of Disease in Childhood
- 2019
- 2
A Retrospective Comparison of CT scan Findings and Autopsy Findings in Fatal Head Injury Cases
- 2019
- PDF
Computed Tomography for Pediatric Pelvic Fractures in Pediatric Versus Adult Trauma Centers.
- Medicine
- The Journal of surgical research
- 2020
References
SHOWING 1-10 OF 17 REFERENCES
Association of traumatic brain injuries with vomiting in children with blunt head trauma.
- Medicine
- Annals of emergency medicine
- 2014
- 50
- PDF
Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study
- Medicine
- The Lancet
- 2009
- 1,019
- PDF
Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department
- Medicine
- Canadian Medical Association Journal
- 2018
- 9
- PDF
Change in guardians’ preference for computed tomography after explanation by emergency physicians in pediatric head injury
- Medicine
- Clinical and experimental emergency medicine
- 2015
- 3
- PDF
Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for head injury in children
- Medicine
- Archives of Disease in Childhood
- 2006
- 351
- PDF
A meta-analysis of variables that predict significant intracranial injury in minor head trauma
- Medicine
- Archives of Disease in Childhood
- 2004
- 118
- PDF
Risk of Brain Tumor Induction from Pediatric Head CT Procedures: A Systematic Literature Review
- Medicine
- Brain tumor research and treatment
- 2018
- 33
- PDF
Epidemiology of children with head injury: a national overview
- Medicine
- Archives of Disease in Childhood
- 2016
- 41
- PDF