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Vomiting and serious head injury in children
  1. Jim Barnard,
  2. Simon Carley
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL

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    Report by Jim Barnard, Senior House Officer Search checked by Simon Carley, Specialist Registrar

    Clinical scenario

    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.

    Three part question

    In [a …

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