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Major trauma in non-accidental injury
  1. Helen Stewart1,2,
  2. Sarah Stibbards2,3,
  3. Victoria Currie4
  1. 1 Emergency Department, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK
  2. 2 NWTS, Manchester University NHS Foundation Trust, Warrington, UK
  3. 3 Emergency Department, Alder Hey Children's NHS Foundation Trust, Liverpool, Merseyside, UK
  4. 4 Emergency Department, Birmingham Women's and Children's Hospital, Birmingham, UK
  1. Correspondence to Dr Helen Stewart, Emergency Department, Sheffield Children's Hospital NHS Foundation Trust, Sheffield S10 2TH, UK; Helen.Stewart11{at}

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You are the paediatric registrar on call at night when the child who presented floppy and unwell via the general practitioner and emergency department earlier in the shift is found to have an intracranial bleed with no explanation as to how this occurred. You are on the paediatric ward, the child having been transferred there directly from scan. This is now a major trauma. If a child has had a significant enough injury to cause an intracranial bleed, is there a possibility that they have suffered an injury elsewhere? How do you manage this patient?

Most regional major trauma pathways state that those children who have suffered a major …

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  • Contributors This letter was written by HS in collaboration with SS and VC.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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