Question

A 6-year-old boy is brought to ED after a fall from a tree. He is alert with GCS 15, vomiting once and complaining of headache. There is no loss of consciousness reported and neurological examination is normal. According to paediatric head injury guidelines, what is the most appropriate management?

Accepted Answer

Observe in ED with serial neurological observations, using a validated head injury rule to decide on CT need

Answer

Immediate CT brain for all head injuries

Answer

Discharge immediately without observation

Answer

Admit to ICU for 24 hours

Answer

Give morphine and sedate to reduce headache

Practice question

A 6-year-old boy is brought to ED after a fall from a tree. He is alert with GCS 15, vomiting once and complaining of headache. There is no loss of consciousness reported and neurological examination is normal. According to paediatric head injury guidelines, what is the most appropriate management?