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Head Injury

CHQ Head Injury Guidelines
File Size: 725 kb
File Type: pdf
Download File

PREDICTing the future - Head Injuries - Franz Babl from DFTB on Vimeo.

Useful links

NICE Guideline Head Injury
Workbook Questions :
 
Case 1
A 3-year-old boy presents to ED with his mum at 5pm after running, tripping and hitting his head on the corner of the couch. He cried immediately but has a large bump on his forehead so has been bought in for assessment.
 
  1. What further information would you look for in the history specific to this presentation
  2. What would you be looking for on examination?
 
After your history and examination you decide that there are no significant risk factors and he examines well. It is now 7pm and he is playing in the waiting room after eating an ice block.
 
  1. What is this child’s likely disposition? What factors would influence your decision?
  2. Once this child is discharged, what information are you going to give to mum and what follow up should be arranged?

Case 2
A 14-year-old boy was hit in the head during a tackle in a rugby game. He says he can’t remember what happened and vomited shortly after. The coach called an ambulance and on arrival to emergency he is a little drowsy and is triaged a cat 3
 
  1. How do you assess this child’s GCS? 
  2. How might you decide if this child needs imaging? Are there any specific rules or criteria available? Where might you find them and what do they state?
  3. He has a CT that is reported as normal but is still vomiting; he is now 4 hours post the initial injury. What might you do next?
  4. The next day he is well and discharged home, what advice would you give to him and his family about his return to sport?
 
Case 3
A 3-month-old girl has fallen from the change table an hour before, cried straight away and seems to have been well since. She has had a breast-feed and examines well in the department.
  1. What other important considerations are there to think about in this case?

Case 4
A 3-year-old boy presents with 6 vomits this morning. Whilst taking the history mum states he fell from the play equipment at day care yesterday morning and sustained a bruise to the back of his head.
 
  1. How might you manage this child? Do you think the head injury is significant and how might you come to this conclusion?
Copyright © 2015
  • Home
  • Guidelines
    • Abdominal pain in adults
    • AAA Rupture
    • Acute Coronary Syndrome
    • Anaphylaxis
    • Aortic Dissection
    • Appendicitis
    • Asthma
    • Backpain
    • Bowel Obstruction
    • Bronchiectasis
    • Burns
    • Chest Pain >
      • ADP Chest Pain Pathway
    • Cholecystitis
    • Confusion
    • COPD
    • Diverticulitis
    • DKA
    • DVT
    • Eating Disorders
    • Febrile Neutropaenia
    • Fractures >
      • Bier's block procedure form
      • Fractured neck of Femur
    • Funnel Web Spider Bite
    • Headache
    • Influenza Like illness
    • Meningitis
    • Obstetrics >
      • QLD Clinical Guidelines
    • Pancreatitis
    • Paracetamol OD
    • Pathology Ordering
    • Peri-anal abscess
    • Pertussis
    • Pneumonia
    • Pneumothorax
    • Podiatry
    • Procedural Sedation >
      • Procedural Sedation
    • Pulmonary Embolus
    • PV Bleeding in Early pregnancy >
      • EPAU - Early Pregnancy Assessment Unit
    • Redback Spider Bite
    • Ring cutter use
    • Seizure
    • Septic Arthritis
    • Use of Restraints
    • Stroke / TIA
    • Sepsis
    • Smoking cessation
    • Snake Bite
    • Syncope >
      • Telemetry guideline
    • TIA
    • Tonometer use
    • Antidotes
    • Dagibatran reversal guidelines
    • Funnel Web Spider Bite
    • Redback Spider Bite
    • Paracetamol OD
    • Snake Bite
    • Warfarin Reversal Guidelines
    • Trauma >
      • C-spine injury
      • Head Injury
      • Imaging Guidelines
      • Trauma in pregnancy
      • Sutures
    • Abdominal Pain
    • Allergy / Anaphylaxis
    • Antimicrobial Guidelines
    • Asthma & Wheeze
    • Behavioural Disturbance
    • Boils - Staph decolonisation treatment
    • Bronchiolitis
    • Buckle fractures
    • Burns
    • Cervical Spine Guideline
    • Chest Pain (Paediatric)
    • Child Protection
    • Constipation
    • Croup
    • DKA
    • Drowning
    • Eating Disorders
    • Fever
    • Fluids in Kids
    • Foreign Bodies
    • Gastroenteritis
    • Headache
    • Head Injury
    • High Flow Nasal Cannula Oxygen
    • Hypoglycaemia
    • Jaundiced Neonate
    • Limping in children
    • Malaria
    • Meningitis
    • Oncology Emergencies
    • Otitis Externa
    • Otitis Media
    • Paediatric Fracture Clinic Referral
    • Paracetamol Poisoning
    • Petechial Rash
    • Pneumonia (CAP)
    • Seizures / Status Epilepticus
    • Sepsis Guideline
    • Tetanus Prophylaxis
    • Torticollis
    • UTI NICE Guideline
    • Trauma in children >
      • LCCH Paeds Trauma Guidelines
      • C Spine Injury LCCH Guideline
      • LCCH Massive Transfusion
    • RCH Melbourne Guidelines
  • Parent Handouts
    • Accidental Poisoning
    • Abdominal Pain
    • Ankle Sprain
    • Arrhythmia
    • Asthma
    • Bronchiolitis
    • Chest Infections
    • Cast Care
    • Cellulitis
    • Constipation
    • Croup
    • DKA
    • Epistaxis
    • Eye Foreign Body
    • Febrile Convulsion
    • Fever
    • Fracture- Buckle
    • Fracture- Clavicle
    • Fracture- Elbow
    • Fracture- Finger/Toe
    • Fracture- Foot
    • Gatroenteritis
    • Glue- Lacerations
    • Head Injury
    • Jaundice
    • Otitis Externa
    • Parechovirus
    • Periorbital and Orbital cellulitis
    • Pulled Elbow
    • Seizures
    • Tonsillitis
    • Urticaria
    • Viral Illness
    • Wound Care
  • ACE the ACEM
  • Blog