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A suggested update for coma guideline
  1. Ashley Reece1,
  2. Anthony Cohn2,
  3. John Heckmatt3
  1. 1Consultant Paediatrician, West Hertfordshire Hospitals NHS Trust, Watford General Hospital, Hertfordshire, UK
  2. 2Department of Paediatrics, West Hertfordshire Hospitals NHS Trust, Watford General Hospital, Hertfordshire, UK
  3. 3Consultant Community Paediatrician, West Hertfordshire Primary Care Trust, Peace Children's Centre, Hertfordshire, UK
  1. Correspondence to Dr Ashley Reece, Consultant Paediatrician, West Hertfordshire Hospitals NHS Trust, Watford General Hospital, Vicarage Road, Watford, Hertfordshire WD18 0HB, UK; ashley.reece{at}nhs.net

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We recently identified the need for a head injury guideline in our department. The guideline for the management of the child with a decreased conscious level seemed, at first glance, to be comprehensive and to meet all the local requirements for implementation.1 2 However, on closer reading, we found omissions which made it impractical …

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