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Pediatric traumatic brain injury in 2012: the year with new guidelines and common data elements
Michael J Bell1, Patrick M Kochanek
1Department of Critical Care Medicine, Safar Center for Resuscitation Research, University of Pittsburgh, 3434 Fifth Avenue, Pittsburgh, PA 15260, USA. bellmj4@upmc.edu
Critical Care Clinics
|March 30, 2013
Summary
New guidelines for pediatric traumatic brain injury (TBI) were developed in 2012, updating previous recommendations. This work highlights guideline development, contrasts editions, and identifies research needs for advancing pediatric TBI care.
Area of Science:
- Pediatric Traumatology
- Neurocritical Care
- Public Health in Developing Nations
Background:
- Traumatic brain injury (TBI) is a primary cause of child mortality in developing countries.
- International efforts in 2012 aimed to advance pediatric TBI research and clinical practice.
- The 2012 Guidelines for the Medical Management of Traumatic Brain Injury in Infants, Children and Adolescents represent an update to the 2003 edition.
Purpose of the Study:
- To detail the development process of the updated pediatric TBI guidelines.
- To compare the 2012 guidelines with the previous 2003 edition.
- To identify critical research areas for future advancements in pediatric TBI.
Main Methods:
- Review of the processes undertaken to create the 2012 medical management guidelines.
- Comparative analysis of the 2012 guidelines against the 2003 guidelines.
- Identification and review of potential new research fields and the role of common data elements.
Main Results:
- The 2012 guidelines offer updated medical management strategies for pediatric TBI.
- Key differences and improvements compared to the 2003 guidelines are highlighted.
- Specific research needs and the utility of common data elements are delineated.
Conclusions:
- The updated guidelines provide a crucial resource for managing pediatric TBI.
- Further research, guided by common data elements, is essential to improve outcomes.
- Advancing knowledge in pediatric TBI is critical, particularly in the developing world.

