Siba Prosad Paul and colleagues discuss the role of emergency nurses in the acute management of brain tumours in children and young people

Although the leading cause of childhood, cancer-related deaths, initial presentations of brain tumours can mimic less serious conditions, which can delay diagnosis. To reduce the time between presentation and diagnosis, the HeadSmart campaign has produced a symptom card to raise suspicion of brain tumours among healthcare professionals in all settings. This article refers to two case studies to describe how emergency department nurses can recognise the signs and symptoms of brain tumours in children. Definitive management is delivered in specialist centres, so safe and prompt transfer is a priority once children are stabilised.