ABSTRACT
This chapter presents a case study of a 3-year-old who is presented with a head injury that occurred when he fell off a chair onto a solid tiled floor. The child has sustained a head injury and has now had three discrete episodes of vomiting following the incident. Head trauma is a very common presentation in children with falls being the most common cause. Clinical features of concern in head injuries include multiple episodes of vomiting, which may reflect raised intracranial pressure. Emergency Departments in the United Kingdom follow the NICE guidelines on indications for computed tomography (CT) scanning in head injuries. Even if the CT scan of the brain was 'normal', the clinical picture suggests that the child requires a period of observation to see if he has further episodes of vomiting or a deterioration in neurological status, which would prompt consideration of repeat scanning.
