Abstract
The spectrum of children''s head trauma, excluding that caused by motor vehicles and child abuse, was investigated by examing 197,561 injuries treated in hospital emergency rooms during 1978. Such injuries accounted for 11% of emergency-room visits. Preschool children had the highest rate of head injury, and among infants < 1 yr these injuries accounted for 40% of the total injuries treated in emergency rooms. Concussion occurred in 1/5 of adolescent cases. Fractures occurred in a relatively small percentage, but infants < 1 yr had the highest rate (6%). Most injuries to younger children occurred at home; among older children they occurred most often during sporting or recreational activities. The implications of these findings for preventive efforts are discussed.

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