Emerg Med J 29:315 doi:10.1136/emermed-2011-201056
  • Images in emergency medicine

Vomiting after head injury: a reminder of traumatic pneumocephalus

  1. Daniel Y Ellis
  1. Department of Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia
  1. Correspondence to Dr Anand Sadashiva, Department of Trauma, Royal Adelaide Hospital, Adelaide, SA 5000, South Australia; anand.sadashiva{at}
  1. Contributors All authors contributed equally to the content and review of the submitted work.

  • Accepted 27 December 2011
  • Published Online First 13 January 2012

A 62-year-old electrician presented to the emergency department following an unwitnessed fall from a ladder resulting in loss of consciousness and epistaxis. He had two episodes of protracted vomiting prior to the arrival of …

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Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


0.5% - 43% response rate
3% - 41% response rate
10% - 16% response rate

Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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