Pediatric emergency medicine trisk 3653 3653
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patient is symptom free. Recent reports suggest that a return to activities 24
to 48 hours after physical rest, maintaining a level of activity that does not
cause symptom recurrence, may decrease the time to return to play. The
current consensus recommendations for return to play should follow a slow
progression with light aerobic exercise, advancing to sports-specific
exercise followed by noncontact drills and full-contact practice with final
advancement to full participation in all sporting activities. Other
recommendations to improve cognitive rest should include good sleep
hygiene, adequate hydration, and decreased use of electronic devices unless
necessary for school performance.
SKULL FRACTURES
CLINICAL PEARLS AND PITFALLS
Linear, parietal, nondepressed skull fractures are the most
common.
Skull fractures are common in accidental and nonaccidental
trauma.
Most linear, nondepressed skull fractures heal without
complications.
Goal of Treatment
The primary goal of treatment is to delineate simple, linear, nondepressed
skull fractures from complicated skull fractures. Complicated skull fractures
are more likely to be associated with intracranial injury and/or
nonaccidental trauma. Early injury pattern recognition and neurosurgical
consultation to determine need for surgical intervention is ideal.
