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Head trauma outcomes of verifiable falls in newborn babies.
  1. Caroline Ruddick (caroline.ruddick{at}nuth.nhs.uk)
  1. Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom
    1. Martin P Ward Platt (m.p.ward-platt{at}ncl.ac.uk)
    1. Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom
      1. Camille De San Lazaro (camille.lazaro{at}nuth.nhs.uk)
      1. Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom

        Abstract

        Eleven newborn babies of normal weights sustained falls onto a hard surface in hospital. The one baby who fell from over a metre sustained clinical and radiological trauma and encephalopathy, with a skull fracture and cerebral contusion. No other baby demonstrated neurological signs despite the presence of parietal skull fractures in four of six who were X-rayed; only two babies had scalp swelling. The findings suggest that parietal fractures can result from very low level falls and scalp swelling is a poor marker for underlying fracture.

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          BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health