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Who should we scan after head injury?
  1. Robert Scott-Jupp
  1. Salisbury District Hospital, Salisbury, UK
  1. Correspondence to Dr Robert Scott-Jupp; scottjupp{at}

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Head injury is one of the the most common reasons for children to attend accident and emergency departments. Perhaps more than any other area of acute paediatrics, head injury presents the greatest challenge in picking out the tiny proportion that might require intensive care and neurosurgical intervention from the vast majority that will come to no harm. With CT scanning becoming quicker, simpler and more widely available, the threshold for scanning has fallen in recent years. However there are concerns about this trend, not only because of the expense and occasional need for sedation, but also because of the small …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.