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Discharge home after assessment for abuse, intracranial and other injury. 
No mandated consults.

Rick,
What is the rationale provided by your specialists for admission?

Thanks,
Manoj
Manoj Mittal, MD
CHOP
________________________________________
From: Pediatric Emergency Medicine Discussion List [[log in to unmask]] on behalf of Vezzetti [[log in to unmask]]
Sent: Friday, January 16, 2015 6:29 PM
To: [log in to unmask]
Subject: Re: Isolated skull fractures

Hi Rick,

We have a policy that allows patients with isolated linear skull fractures to be discharged as well.  This occurs when other injuries gave been ruled out, social work has seen the patient, and after speaking to neurosurgery. If there's any doubt or other injury, the child is admitted.

Bob

R Vezzetti, MD, FAAP, FACEP
Pediatric Emergency Medicine
Dell Children's Medical Center

> On Jan 16, 2015, at 3:17 PM, Rick Place <[log in to unmask]> wrote:
>
> The specialists at our institutions believe that all isolated skull
> fractures should be admitted for observation overnight.
>
> Are there large institutions who have a policy (formal or informal) which
> permit discharge of an isolated skull fracture in a well appearing infant
> (or older child) with a good story and no intracranial issues?
>
> Thanks
>
> Rick Place
> Fairfax VA
>
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
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For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html

For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
                 http://listserv.brown.edu/ped-em-l.html