Skull fracture (peds)
Background
Pediatric
- fxs are predictors of intracranial inj
- infants higher risk for fx since thinner bones
- most fxs have hematomas
Diagnosis
- All skull fx require Head CT
Management
- ABX indicated for:
- Open fx
- Depressed fx
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV