Case number | Age (years) | Injury cause/symptoms | Result | Neurosurgery? |
---|---|---|---|---|
1 | 15 | Persistent headache a week later | Normal | |
2 | 15 | GCS=15 on arrival but GCS=13 in ambulance, brief LOC, 2 discrete vomits | Normal | |
3 | 14 | GCS=14 on arrival, brief LOC, fell off ride-on-mower | Normal | |
4 | 11 | Fell 2 m, had brief LOC | Normal | |
5 | 9 | Fell 1.25 m from tree to concrete with brief LOC | Normal | |
6 | 7 | Fell off bike, brief LOC, bruise on head | Normal | |
7 | 7 | Previously had a tumour, has missing bone flap, hit it when fell over | Normal | |
8 | 6 | Vomit <3 times, headache, fell off trampoline | Normal | |
9 | 2 | Headache, lump on head | Normal | |
10 | 14 | GCS=15 on arrival, LOC of 4 min, fell off horse | normal | |
11 | 14 | GCS=15 on arrival, LOC for 3 min, agitated, fell playing football | Normal | |
12 | 10 | Headache, drowsy, dizzy, fell off shoulders | Normal | |
13 | 11 | Vomit <3 times, fell from tree <3 m | Normal | |
14 | 11 | Fell 2 m, brief LOC | Skull fracture | No |
15 | 9 | GCS=15, vomited once, mild headache, fell and hit head on concrete | Small left occipital contusion | No |
16 | 15 | Playing AFL, vomited once, brief LOC, headache, nausea | Orbital and maxillary fractures | No |
17 | 3 | Fell 1 m onto tiles, had headache, boggy swelling | Skull fracture and contusion | No |
18 | 10 | GCS=15 on arrival, previously GCS=14 in ambulance, brief LOC | Subdural haematoma | No |
19 | 7 | Fell off bike wearing helmet, lump on head | Skull fracture, small haematoma | No |
20 | 7 | On admission GCS=15, previously 13, irritable, fell off bike, no helmet | Small subgaleal haemorrhage and parietal haemorrhagic contusion | Yes, repair of anterior fossa and dura tear |
21 | 2 | Lump on head | Haematoma parietal | No |
↵* See box 1 for definition.
AFL, Australian Football League; CHALICE, children's head injury algorithm for the prediction of important clinical events; GCS, Glasgow Coma Scale; LOC, loss of consciousness