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Indication for head CT in children with mild head injury
  1. Andrew Munro, Specialist Registrar in Emergency Medicine,
  2. Ian Maconochie, Paediatric Consultant in Emergency Medicine
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones{at}man.ac.uk)

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Report by Andrew Munro, Specialist Registrar in Emergency Medicine Checked by Ian Maconochie, Paediatric Consultant in Emergency Medicine

Clinical scenario

It is 9 pm on a Saturday, a 5 year old boy is brought to the emergency department by his mother after an unobserved fall on a trampoline. The mechanism is unclear but he was playing with an older boy. He was not thought to have cried immediately. He has a moderate sized contusion to his occiput but no focal neurology. He has a GCS of 14, opening his eyes to voice only. No skull fracture is identified …

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