A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consc…

Question

A 6-year-old boy fell from a trampoline five hours ago onto grass. He cried immediately and did not lose consciousness. He vomited once at the scene and not since. He has been alert throughout with a Glasgow Coma Scale score of 15, a soft occipital haematoma, no scalp laceration, no bruising behind the ears or around the eyes, normal pupils and a normal neurological examination. He has eaten a sandwich in the waiting room and is playing on his mother's phone. His mother is anxious and asks for a…

Accepted Answer

Discharge with written head injury advice.

Answer

Admit for overnight neurological observation.

Answer

Arrange computed tomography (CT) of the head.

Answer

Observe in the department for four more hours.

Answer

Request a skull radiograph.

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