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Children frequently suffer head injuries, either as an
isolated event or associated with other injuries. Between 60 and 80 % of admissions for
head injury are classified as MINOR or MILD with a generally good outcome. The management
of Minor Head Injury is controversial and diagnostic procedures and in-hospital
observation in this group, are focused on the minor risk of development of an Intracranial
Haematoma. Certly, early detection and prompt surgical evacuation of such haematomas
yields reduced morbidity and mortality. Therefore, management protocols must establish a
safe and effective standard of care that allows distinction between patients who require
observation and those who can be discharged from the emergency department, thus
eliminating unnecessary tests and/or hospitalization. |