Head Injury in Children – PEM Induction

Walk into any Emergency Department in the country and you are bound to find at least one child waiting to be seen with a head injury - it's one of the commonest presenting complaints to EDs in the UK
Patients with head injuries are the most common type of trauma seen in the Emergency Department and can represent up to 10% of all presentations.
Visiting hospital can be scary at any age. Facilitating a positive hospital experience for children is important because many of them will require further attendances and treatments in their lifetime. We don’t want this to be a frightening place for them.
The seizing child is truly a scary thing to behold. If you work in the Paediatric ED, you will, at some stage, come across a child who has had a seizure, is recovering from a seizure, or is actively seizing
Abdominal pain is a reasonably common presentation in paediatrics-increasing as the child gets older
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.
Rashes are difficult to diagnose in both children and adults. The key is to be able to identify the important types (anaphylaxis urticaria, meningitis, non-accidental injury), and then manage to learn about the rest slowly
Here are some tips on the common mental health presentations to the emergency department
The dark side of PEM, and what should also be on your differential diagnosis for any patient you are seeing is: "was this inflicted" and "is there something more?"
Elsie is a four year old who has come into the Emergency Department because her parents are concerned that she is not walking. Three days ago she was playing with her aunt and hurt her leg. Since then she has not been weight-bearing and her parents have been carrying her everywhere
It's safe to say you will likely see a few of these, as minor injuries are a very common occurrence in childhood with around 20-30% of all paediatric attendances to the Emergency Department involving minor injuries or trauma
One of the most common reasons for newborns to be sent in to the ED for assessment is weight loss