Baby falling with head What are the complications of a child falling behind? What dangers may the baby face? A child's head injury can be very dangerous and cause stress and worry for parents.... In this article, we talk about action and treatment strategies in case of head injury.. One of the main reasons is non-accidental injuries (misbehavior). Photography will be allowed. Falls and child abuse are the most common causes in infants....Falls and accidents with motor vehicles (such as pedestrians) and sports injuries are the most common causes in school-aged children..20% reported....having a GCS in children has a 3-50% chance of general injury..tolerate the same concussion better than adults...major anatomical differences make children more susceptible to some injuries...compared to adults, the head relative to the body surface It is bigger... the child will be less and therefore more sensitive to lacerations... ### Manifestations of the patient during a head injury Hemotympanum (bleeding from temporal bone fracture) Battle Sign: Ecchymosis behind the ear indicating a skull fracture Raccoon eye (hemorrhage in the suborbital area caused by skull fracture) Otorrhea and rhinorrhea due to cerebrospinal fluid leakage Children's hearing disorders ### Signs and symptoms of increased intracranial pressure: • Neonates: prominent fontanel, detached sutures, leg edema, increased head size • Variable level of consciousness • Cushing's triad (high blood pressure, decreased heart rate, irregular and shallow breathing) • Abnormal body condition (depressed or decorticated) • Dubini and Luchi • Nausea and vomiting ### Diagnostic evaluation of child's head injury All individuals with head trauma should be evaluated for cervical spine injury.. It is necessary to fully evaluate the child for other injuries (fracture of long bones, trauma to the abdomen).. • GCS 13 to 15 indicates mild injury. Head CT to evaluate for increased intracranial pressure, bruising, hematoma (subdural, epidural, or parenchymal) and hemorrhage (subarachnoid is the most common type) Ultrasound (instead of CT scan) is performed in infants and young infants....MRI has a limited role in immediate evaluation due to high cost and limited availability... ### Treatment and management of head trauma in children Assessment and control of airway, breathing and circulation Stabilize the neck with a neck brace and prepare for airway control if needed The decision for a child's CT scan depends on the following factors: assessing the risk of using sedatives, exposure to radiation, higher cost, longer hospitalization... It should be noted that seizures in children or delayed epilepsy may occur quickly after the injury... Periodic checkup Hyperactivity in children Seizures in children Children's hearing disorders Thanks to the management of the site Dr. Faraji pediatrician