Kid fell off bike: what would you anticipate?

Well, I think number one is clearly the correct answer, although I think some docs might opt for number 2. Head CTs cause 3000 X the amount of radiation as an x-ray and have been shown to greatly increase cancer in children. The kid had a very unimpressive story. However, this was an actual case I had. I was working with a great pediatric ED doctor who was also a peds intensivist. The kid showed up with the above story. After some observation the doc was literally walking over to get discharge instructions when the kid vomited on the floor. So he said, "Okay we should probably do the CT now." Can you believe this kid had a skull fracture and a bleed! I could not believe it, like another nurse said, I probably would not have even taken my kid to the ED for this (until he vomited). The bleed was small, but still, I've never seen one with such an unimpressive story and clinical findings.