© 2000 the Emergency Medicine Journal
Best evidence topic report
Vomiting and serious head injury in children
Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Report by Jim Barnard, Senior House Officer Search checked by Simon Carley, Specialist Registrar
A 4 year old boy presents to the emergency department after a one metre fall onto a carpeted floor. The child has vomited three times in the past hour but is otherwise well. Clinical examination is unremarkable. You wonder how significant the vomiting is.
In [a child with a minor head injury] does [vomiting] predict [intracranial injury]?
Medline 1966–07/00 using the OVID interface. ([exp brain injury OR exp craniocerebral trauma OR exp haematoma, epidural OR exp haematoma, subdural OR intracranial haematoma.mp OR head injury.mp.] AND [exp vomiting OR vomiting.mp. OR emesis.mp.] AND [child OR pediatrics OR paediatric$.mp. OR paediatric$.mp]) LIMIT to human AND English AND abstracts.
Altogether 53 papers were found of which 41 were irrelevant to the question or of insufficient quality for inclusion. The remaining 13 papers are shown in table 1
. An additional paper of relevance was recently published in this journal, but was not currently
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