SAQ 1094 – paediatric head injury re-presentation with CT brain

You are the consultant in a regional ED. A 5-year-old girl re-presents seven hours after discharge. She was previously assessed after a fall from a slide at preschool for head injury, with no investigations performed.

Review the linked axial CT brain image.

List six indications for CT brain in this child.

(Marked out of 6.0)

/ 6

Give three positive findings on the axial CT brain image.

(Marked out of 3.0)

/ 3

The child deteriorates to GCS 5. List your top five management priorities.

(Marked out of 5.0)

/ 5

Concerns are raised about the initial presentation management. Give three potential issues and the action required.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; table-layout: fixed; border-collapse: collapse; max-width: 100%;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Potential issue</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Required action</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 20

Percentage: 0%