Table 2 Routine admission orders for patients with minor closed head injuries

• Admit to pediatric ward, trauma ward or neurosurgical service.

• Vitals per protocol with every hour neurological checks.

• Head of bed elevated at 30 degrees. Ambulate with assistance (after spine clearance).

• Diet: NPO overnight, then regular as age appropriate.

• Medications: Tylenol as needed for pain.

• Laboratory studies: Serum sodium, glucose.

be counseled prior to discharge regarding 'post-concussive syndrome' and referred for a single visit to a medicine or physiatry closed-head-injury follow-up clinic.

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