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Skull fracture and intracranial injury in children
  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)

https://doi.org/10.1136/emj.18.6.467-a

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

    Clinical scenario

    Different emergency departments have different protocols/preferences in the way children with mild or minor head injury are investigated. Some prefer observation plus or minus plain skull radiographs, others use head scan as the first choice modality. The department you are currently working in uses plain radiology. You are concerned that in children with mild head injury with no abnormal neurology and no fracture …

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