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Department of Human Development, College of Human Medicine, Michigan State University, East Lansing, Michigan 48824 and Department of Radiology and Pediatrics, Children's Hospital, Wayne State University, Detroit, Michigan
Children frequently fall out of bed but seldom incur serious injury. When such a fall raises parental concern, the pediatrician is consulted; even in this group, the child is rarely found to have a severe injury. There is a clinical impression that skull radiographs, when taken in these situations, are of extremely low yield and are not necessary as a routine.
Occasionally a child who is reported to have fallen out of bed presents with a skull fracture, cerebral edema, retinal hemorrhage, subdural hematoma, and/or epidural hemorrhage. These severe injuries are discrepant with the history; it is often this discrepancy
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