Algorithm for Management of Head Injuries in Children Primary survey: • Airway and cervical spine • Breathing • Circulation and haemorrhage control • Disability: - consciousness - pupils • Exposure Potentionally serious head injury: • Witnessed loss of consciousness >5 min • Amnesia >5 min • Abnormal drowsiness • 3 or more discrete episodes of vomiting • Clinical suspicion of non-accidental injury • Post-traumatic seizure but no history of epilepsy • Glasgow Coma Score < 15 (<14 if <1 year old) • Suspicion of open/depressed skull injury/tense fontanelle • Sign of basal skull fracture, e.g. CSF leak from nose/ears, purple around eyes (panda eyes) or over mastoid (Battle sign) or ear drum (haemotympanum) • < 1 year old and bruise/swelling >5 cm on head • Dangerous mechanism — high-speed road traffic accident, fall from >3 m, high-speed injury from projectile object. #Algorithm #Management #Head #Injury #trama #pediatrics #peds
