Ruddick C, Platt MW, Lazaro C. Head trauma outcomes of verifiable falls in newborn babies
. ADC Online First, published as 10.1136/adc.2008.143131.
- Babies who fell accidentally to the floor in the maternity ward between 1999 and 2003 were identified, and included in the study if falls were witnessed or circumstances verifiable.
- The floor of the hospital was identified as vinyl tile on concrete subfloor
- Falls were from one meter or less, except one case which was from 1.2 meters
- 11 cases were included. Immediate assessment was available for each case
- eight cases presented without clinical findings.
- three included a presentation of bruising over the temporal area, one with swelling over the parietal area, and one case of traumatic encephalopathy.
- five linear parietal skull fractures were identified.
- three of these fractures did not have associated scalp swelling.
- Symptoms of underlying brain injury were not present in nearly every case.
- Single linear parietal fractures are possible in short falls.
- Scalp swelling does not always accompany skull fractures.