Minor closed head injury is one of the most frequent reasons for visits to a physician 1 although 95 000 children experience a traumatic brain injury each year in the united states 2 consensus is lacking about the acute care of children with minor closed head injury the evaluation and management of injured children may be influenced by local practice customs settings where children are . The report to congress on the management of traumatic brain injury in children is a publication of the centers for disease control and prevention cdc in collaboration with the national institutes of health nih. In this article we concentrate upon emergency management of injuries sustained by child victims of acute sexual assault reports within 72 h of the abuse provided at a tertiary care pediatric surgical unit. Clinicians also need to know when children can be sent home with reassurance and information and when they require admission or transfer to a neurosurgical unit this article examines the literature on head injuries in children describes assessment management and treatment and provides a simple management algorithm emergency nurse 24 4 . Children sustaining head injuries at the more severe end of the head injury spectrum are usually readily identifiable and this should prompt immediate and concurrent intervention investigation and referral for definitive management children with clinical features of head injury at the milder and by far more prevalent end of the
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