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The evidenced-based care behind the early management of head injured children

Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK, bayreuther{at}btinternet.com

Ian Maconochie

St Marys Paddington, St Mary's NHS Trust, Praed Street, London W2 1NY, UK

Trauma remains the highest cause of death in children over the age of 1. Head injury accounts for the highest mortality. There is much information on the treatment of head injuries and indications for CT scanning. This review aims to summarise the key differences between paediatric and adult victims of trauma and outline the key steps in management of head injured children, from prevention through to who should have a CT scan and initial management in the emergency department (ED) if transfer is required to a PICU or neurosurgical unit. Information is also provided on recommendations for follow up of children who do not require PICU or neurosurgical care.

Key Words: head injury • paediatric • trauma • CT scan

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