Emergency Department Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion (Trauma CME) | Digest -
0
TOC Will Appear Here

Emergency Department Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion (Trauma CME)

7,615 views
Below is a free preview. Log in or subscribe for full access. Or, get a free sample article ED Assessment and Management of Pediatric Acute Mild Traumatic Brain Injury and Concussion:
Please provide a valid email address.

Points & Pearls Excerpt

  • Currently, PECARN is the only validated clinical decision rule for pediatric patients aged <2 years with mild traumatic brain injury (mTBI). PECARN risk factors associated with increased risk for clinically important TBI in this age group include altered mental status, nonfrontal scalp hematoma, loss of consciousness for ≥5 seconds, severe mechanism of injury, palpable skull fracture, and acting abnormally per the parents.8
  • Patients with mTBI who present with an isolated episode of emesis, isolated headaches that are not severe or worsening, or isolated loss of consciousness are at very low risk for clinically important intracranial injury. In these cases, strong consideration should be given to observation in the ED as an alternative to head computed tomography (CT) scan.
  • Children aged <1 year with larger-sized scalp hematomas in a nonfrontal location are at increased risk for TBI visible on CT, and neuroimaging should be considered.
  • Children aged <2 years are at increased risk for nonaccidental trauma. When nonaccidental trauma is suspected (inappropriate delay in care, unexplained mechanism of injury, or an injury not appropriate for the developmental stage of the child), a head CT, skeletal survey, and laboratory studies should be obtained. In addition, social work and Child Protective Services must be involved.85
To Read The Companion Article:
To Read The Companion Article:
To Read The Companion Article:
Already purchased this course?
Log in to read.
Purchase a subscription

Price: $449/year

140+ Credits!

Purchase Issue & CME Test

Price: $59

+4 Credits!

Money-back Guarantee
Publication Information
Authors

Madeline Joseph, MD, FACEP, FAAP; Audrey Paul, MD, PhD

Peer Reviewed By

Susan B. Kirelik, MD, FAAP; Todd W. Lyons, MD, MPH

Publication Date

June 2, 2021

CME Expiration Date

July 2, 2024

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits.

Pub Med ID: 34008934

Get Permission

CME Information

Content You Might Be Interested In

Pediatric Ocular Trauma: Recognition and Management (Trauma CME and Pharmacology CME)

Management of Closed Head Injuries in Urgent Care

Optimizing Imaging in the Pediatric Trauma Patient, Part 1: Head and Neck Trauma - Trauma EXTRA Supplement (Trauma CME)

Blunt Cerebrovascular Injuries: Early Recognition and Stroke Prevention in the Emergency Department - Stroke EXTRA Supplement (Stroke CME)

Get A Sample Issue Of Emergency Medicine Practice
Enter your email to get your copy today! Plus receive updates on EB Medicine every month.
Please provide a valid email address.