@article{ref1,
title="Head injuries in children--aetiology, symptoms, physical findings and x-ray wastage",
journal="British journal of radiology",
year="1978",
author="Boulis, Z. F. and Dick, Rhonda and Barnes, N. R.",
volume="51",
number="611",
pages="851-854",
abstract="One thousand and thirty-two consecutive children with head injuries have been studied. All were outpatients, and 1000 had X-rays requested and performed. Of those X-rayed, only 21 (2.1%) had fractures, whilst 129 cases (12.9%) required admission for observation. No patient developed complications from their injuries. The presence or absence of a fracture neither correlated with the clinical situation nor affected the management. The fact that two thirds of all new casualty attendances at UK hospitals have an X-ray examination (British Medical Journal, 1977) is an unjustified wastage. Much of this wastage is related to skull X-rays in trauma, especially in children. In only a minority of patients does the presence of a fracture result in any modification of treatment. Some suggestions as to indications for skull X-rays in trauma have been made to help select patients for radiography and to avert wastage.<p /><p>Language: en</p>",
language="en",
issn="0007-1285",
doi="",
url="http://dx.doi.org/"
}