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