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Related Experiment Video

Updated: May 14, 2026

Brain Death Induction in Mice Using Intra-Arterial Blood Pressure Monitoring and Ventilation via Tracheostomy
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Pediatric brain death: updated guidelines.

Jodi E Mullen1

  • 1Pediatric Intensive Care Unit, Shands Hospital for Children at The University of Florida, 1600 SW Archer Rd, Gainesville, FL 32610, USA. muljod@shands.ufl.edu

AACN Advanced Critical Care
|January 25, 2013
PubMed
Summary
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A 5-year-old boy sustained severe traumatic brain injury after a bicycle accident. Despite critical condition, non-operative management was chosen, highlighting the importance of prompt medical evaluation in pediatric trauma.

Area of Science:

  • Pediatric Emergency Medicine
  • Neurotrauma
  • Traumatic Brain Injury

Background:

  • Bicycle accidents are a common cause of pediatric injury.
  • Traumatic brain injury (TBI) in children requires immediate and specialized care.
  • Helmet use significantly reduces the risk and severity of head injuries.

Purpose of the Study:

  • To report a case of severe TBI in a pediatric patient following a bicycle accident.
  • To discuss the management of severe TBI with brain herniation in a pediatric patient.
  • To emphasize the importance of helmet use in preventing severe head injuries.

Main Methods:

  • Case report of a 5-year-old male cyclist struck by a motor vehicle.
  • Initial assessment included Glasgow Coma Scale (GCS) and pupillary response.

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  • Diagnostic imaging with head computed tomography (CT) scan.
  • Neurosurgical consultation for management decisions.

    • Main Results:

    • The patient presented with a GCS score of 5, unreactive pupil, and signs of brain herniation on CT scan.
    • Despite the severity of the injury, no operative management was deemed appropriate.
    • The patient exhibited minimal external injuries but severe internal brain trauma.

    Conclusions:

    • Severe TBI with signs of herniation can occur in pediatric bicycle accidents.
    • Non-operative management may be considered in select cases of severe pediatric TBI.
    • The case underscores the critical role of protective gear, such as helmets, in preventing severe outcomes.