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Carson HJ et al. - There were significant differences between the two groups. Decedents with skull fractures tended to by younger compared to those with head injury only. The use of drugs or alcohol was more likely in decedents with skull fractures than in those with head trauma only. Mean abbreviated injury scale scores were higher for the face and head/neck of decedents with skull fractures, while significantly lower for chest and extremities, compared to decedents without skull fractures. Brain injury of some kind occurred in 90% of cases of head trauma, so a high level of suspicion should be placed in seeking skull fractures or brain injury.

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