Letters NICE on early management of head injury

Remove isolated vomiting as an automatic indication for computed tomography in children with head injury

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g2032 (Published 10 March 2014) Cite this as: BMJ 2014;348:g2032
  1. Jamie Fryer, emergency medicine senior clinical fellow1,
  2. Ed Abrahamson, consultant paediatrician1
  1. 1Chelsea and Westminster NHS Foundation Trust, London SW10 9NH, UK
  1. Jamie.Fryer{at}doctors.org.uk

We welcome the changes in the 2014 National Institute for Health and Care Excellence (NICE) head injury guidelines that downgrade vomiting in children as an indicator for computed tomography (CT) of the head,1 but we feel that they do not go far enough.

The evidence linking vomiting and clinically important traumatic head injury in children is poor. …

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