A 3-year-old with minor head injury fell from standing, cried immediately and vomited once. GCS is 15, no scalp haematoma, no severe mechanism,

Question

A 3-year-old with minor head injury fell from standing, cried immediately and vomited once. GCS is 15, no scalp haematoma, no severe mechanism, normal behaviour, and examination is normal after four hours of ED observation. What is the most appropriate disposition?

Accepted Answer

Discharge with head injury advice and clear return precautions

Answer

CT head before discharge despite low-risk features

Answer

Arrange skull radiographs

Answer

Admit to ICU overnight

Answer

Give prophylactic anticonvulsants

Low-risk paediatric minor head injury — RCPSC EM MCQ

A 3-year-old with minor head injury fell from standing, cried immediately and vomited once. GCS is 15, no scalp haematoma, no severe mechanism, normal behaviour, and examination is normal after four hours of ED observation. What is the most appropriate disposition?