Borland ML, et al. - In this planned secondary analysis of the Australasian Paediatric Head Injury Rule Study, researchers examined the prevalence of traumatic brain injuries among patients presenting to emergency departments > 24 hours after injury. Further, they identified symptoms and signs to guide their management. Eligible study participants included 19,765 children, of whom 981 presented > 24 hours after injury. A total of 465 injuries resulted from falls < 1 m and 37 (3.8%) involved traffic incidents. According to findings, delayed presentation after head injury was infrequent; however, it was significantly associated with traumatic brain injury. Evaluation of delayed presentations must consider features associated with this increased risk, including non-frontal scalp hematoma, headache, vomiting, and assault with nonaccidental injury concerns.