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A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Evidence-based assessment of severe pediatric traumatic brain injury and emergent neurocritical care
Angela Lumba-Brown1, Jose Pineda2
1Division of Pediatric Emergency Medicine, Washington University School of Medicine, St. Louis, MO..
Insights
Severe traumatic brain injury impacts thousands of children annually. This review covers pediatric neurocritical care, focusing on diagnosis and management for better outcomes in severe pediatric traumatic brain injury.
Area of Science:
- Neuroscience
- Pediatric Critical Care
- Trauma Surgery
Background:
- Pediatric traumatic brain injury (TBI) is a significant public health issue in the US, causing numerous emergency department visits, hospitalizations, and deaths in children.
- Advances in specialized pediatric trauma centers and emergency medical services have improved acute neurocritical care for children.
Purpose of the Study:
- To review the diagnosis and management of severe pediatric traumatic brain injury.
- To discuss medical decision-making in the neurocritical care of children with severe TBI.
Main Methods:
- Literature review of pediatric-specific diagnosis and management strategies.
- Analysis of current practices in neurocritical care for severe pediatric TBI.
Main Results:
- Pediatric TBI necessitates specialized care pathways.
- Effective management involves timely diagnosis and tailored medical decision-making.
Conclusions:
- Specialized pediatric neurocritical care is crucial for managing severe traumatic brain injury in children.
- This review synthesizes key aspects of diagnosis, management, and decision-making for pediatric TBI.
Abstract:
Pediatric traumatic brain injury accounts for approximately 474,000 emergency department visits, 37,000 hospitalizations, and 3,000 deaths in children 14 years and younger annually in the United States. Acute neurocritical care in children has advanced with specialized pediatric trauma centers and emergency medical services. This article reviews pediatric-specific diagnosis, management, and medical decision making related to the neurocritical care of severe traumatic brain injury.
