Is cranial computed tomography unnecessary in children with a head injury and isolated vomiting?

Hardman, Simon; Rominiyi, Ola; King, David; Snelson, Edward

doi:10.1136/bmj.l1875

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…Given that 13.2%–40.9% of children presenting with a minor head injury vomit, following the current NICE guidelines may carry unnecessary risk 2 14. The recently published Scandinavian guidelines by Astrand et al recommend a period of observation rather than CT head in isolated vomiting; this pragmatic approach is also being adopted in the UK alongside the need for further research as highlighted by Hardman et al 3 15. Both these large cohort studies were well-constructed with a population that is comparable to the UK and show that isolated vomiting is a poor predictor to include in CDRs.…”

Section: Commentarymentioning

confidence: 99%

Use of CT in children with minor head injuries with isolated vomiting

Newsome

2019

Arch Dis Child

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Section: Commentarymentioning

confidence: 99%

Use of CT in children with minor head injuries with isolated vomiting

Newsome

2019

Arch Dis Child

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“…Because head trauma encompass such a broad range of injuries, there are several reasons that might result in brain injuries, including physical assaults, falls, accidents, or traffic accidents. 2 The head trauma is considered an external force insult to the brain leading to lethal pathological brain development. The primary direct effects of trauma apply to traumas induced by injury and secondary damage related to hospitalized hypoxia contributing to ischemia.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge and practice of nurses regarding the care of patients with head trauma in intensive care units in the West Bank

Shehade,

Ayed,

Harazneh

2023

Journal of Public Health Research

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Background: Nurses in the intensive care unit are responsible for the continuous assessment and management of physiological parameters associated with head trauma. Nurses have a vital and significant role in the care of patients suffering from moderate-to-severe head trauma, both during acute and non-acute care. The purpose of this study was to investigate the Knowledge and Practice of nurses regarding the care of patients with head trauma in an intensive care unit. Design and methods: The study was designed as a cross-sectional study. The study recruited 165 nurses who work at intensive care unit (ICU) nurses in Palestinian hospitals. The data collected by a self-administered questionnaire developed by the researcher. Results: Among the 165 intensive nurses, the study findings revealed the majority of nurses 99 (60.0%) have low level knowledge regarding Care of Patients with a head trauma, and showed that most of the nurses 115 (69.7%) have poor level practice regarding Care of Patients with a head trauma. Conclusions: According to the results of the current study, approximately two-thirds of the studied nurses had unsatisfactory knowledge level regarding head trauma care. More than two-thirds of the studied nurses had poor level practice regarding head trauma care. Also, the study confirmed no statistical significant relation between knowledge and demographic characteristics. There was significant differences between total practice scores and both experience in general and experience in ICU.

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“…A head injury is any injury that results in trauma to the skull or brain. The terms traumatic brain injury and head injury are often used interchangeably in the medical literature [1]. Because head injuries cover such a broad scope of injuries, there are many causesincluding accidents, falls, physical assault, or traffic accidents-that can cause head injuries.…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Comparison of CT scan Findings and Autopsy Findings in Fatal Head Injury Cases

2019

J Forensic investig

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A head injury is any injury that results in trauma to the skull or brain. The terms traumatic brain injury and head injury are often used interchangeably in the medical literature. All fatal head injury cases subjected for medico-legal autopsy to the Dept of Forensic Medicine, Adichunchanagiri Institute of Medical Sciences, where prior CT Head scan was taken during hospitalization. In the present study, the vulnerable age group was those in the 21-30 years (18 cases) followed by age group of < 20 years (8 cases). In the present study, 26 cases were due to RTA injury and remaining 4 cases were due to fall and assault respectively. In the present study, Of the 30 cases, scalp injuries were noted in 22 cases at autopsy where as CT reported scalp injury in only 28 cases. Of the 30 cases, in 28 cases skull fractures were observed at autopsy but in 30 cases the same was commented upon in the CT scan. It was observed that combination of CT scan findings and autopsy findings is a useful tool for the diagnosis of various kinds of lesions of head injury and thus helps in formulating better policies.

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Is cranial computed tomography unnecessary in children with a head injury and isolated vomiting?

Cited by 6 publications

References 12 publications

Use of CT in children with minor head injuries with isolated vomiting

Use of CT in children with minor head injuries with isolated vomiting

Knowledge and practice of nurses regarding the care of patients with head trauma in intensive care units in the West Bank

A Retrospective Comparison of CT scan Findings and Autopsy Findings in Fatal Head Injury Cases

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