Emerg Med J doi:10.1136/emermed-2012-202117
  • Images in Emergency Medicine

Craniotomy unplugged

  1. Charles Marks3
  1. 1Emergency Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland
  2. 2Department of Radiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland
  3. 3Department of Neurosurgery, Cork University Hospital, Cork, Ireland
  1. Correspondence to Dr Bríd M Reale, Emergency Department, University Hospital Limerick, Dooradoyle, Limerick, Ireland; b.reale1{at}

An 18-month-old infant presented to the emergency department following a fall from a couch onto a three-pin electrical plug that embedded in the right parietal area. At presentation, she was alert and crying with no concerning neurological findings.

Examination revealed that only the upper pin was embedded, appearing to involve only the overlying skin and fascia. Removal of the plug was performed …

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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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