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  • In any case of head injury always consider the following history.

  • If suspicion of neck injury always use the cervical collar and then begin the questioning.

  • Use all available sources to get the history from parents, bystanders, family

 

Ask about the following- 

 

Mechanism of injury

Time of injury

Loss of consciousness

  • Unconsciousness may mean the injury was at least moderate severity

  • Also, record the time of amnesia if present

Headache

  •          The position of the headache and severity

Nausea and vomiting

Limb weakness

Paresthesia

Diplopia

CSF leak from nose or ears

Bleed from eyes/ ears/ nose

Neck injuries

Any other injuries

Past medical history

  • Document pre-existing illness like epilepsy, cardiac conditions, bleeding problems.

Drug intake

Medications that the child takes

  • Any alcohol or drug abuse- this may hamper the consciousness level

Tetanus status

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