Dr. Rahim Valani and Dr. Jennifer Riley discuss their approach to the workup and management of both minor and major head injury in children.  They review two recent landmark studies describing decision rules for performing CT head in minor pediatric head trauma, as well as practical tips on instructing parents regarding back to sport activities after discharge.  In major pediatric head injury, they discuss key clinical pearls on managing blood pressure, the use of hypertonic saline and managing raised intracranial pressure in the treatment of major head injury.