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To: ADC Fetal and Neonatal Edition Letters and ADC Education and Practice Letters

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Original articles: J Dunning, J Patrick Daly, J-P Lomas, F Lecky, J Batchelor, K Mackway-Jones on behalf of the children’s head injury algorithm for the prediction of important clinical events (CHALICE) study group Derivation of the children’s head injury algorithm for the prediction of important clinical events decision rule for head injury in children Arch Dis Child 2006; 91: 885-891 [Abstract] [Full text] [PDF]

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Practical issues

Marion Schmidt   (27 October 2006)

Practical issues 27 October 2006
Marion Schmidt, Consultant Paediatrician Send letter to journal: Re: Practical issues marion.schmidt{at}gwent.wales.nhs.uk Marion Schmidt	Dear Editor, Thanks you for a very thourough study addressing the important issue of head injury in children. However in practical terms doing a CT scan on 14 % of all children presenting to A+E with head injury can be difficult. Many children particularly toddlers will not allow a scan without sedation or a general anaesthetic which again increase the risk associated with CT. In a DGH setting there are often anaesthetists on call with little experience with children and an understandable reluctance to anaesthetise a child who is well but has e.g. vomited more than 3 times. How do you address this within your hospitals ?