Head injury

  • RCH Clinical Practice Guideline Head injury

    Forensic investigation of suspected abusive head trauma

    • Consider radiological imaging (MRI and/or CT brain scan) of the brains of infants and young children who might have been shaken.
    • MRI whole spine
    • Investigate as for fracture
    • Consult with an ophthalmologist (and arrange for examination by the ophthalmologist)
    • Investigate as for bruising when intracranial haemorrhage exists
    • Urine metabolic screen and consider serum organic acids, other metabolic tests and consultation with a genetic/metabolic specialist
    • Admission to ICU should be considered  whenever altered conscious state has occurred after suspected shaking because of the high risk of further neurological deterioration caused by progressive brain swelling