Children with Isolated Vomiting After Head Injury Are Unlikely to Have Intracranial Injuries

In a planned secondary analysis of data from the Australasian Pediatric Head Injury Rule Study, investigators determined the prevalence of clinically important traumatic brain injury (ciTBI) and traumatic brain injury identified on computed tomography (TBI-CT) among children presenting after a head injury with isolated vomiting. The definition of ciTBI was head injury requiring any of the following: neurosurgical procedure, intubation, or admission ≥2 nights because of persistent signs or symptoms from head injury. Isolated vomiting was defined as vomiting without other predictors of head injury from the Pediatric Emergency Care Applied Research Network (PECARN) and the Children's Head Injury Algorithm for the Prediction of Important Clinic…