Severe Traumatic Brain Injury in Children: An Evidence-Based Review of Emergency Department Management -Trauma EXTRA Supplement - (Trauma CME) | Severe Traumatic Brain Injury in Children: An Evidence-Based Review of Emergency Department Management -Trauma EXTRA Supplement - (Trauma CME)
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Severe Traumatic Brain Injury in Children: An Evidence-Based Review of Emergency Department Management -Trauma EXTRA Supplement - (Trauma CME)

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Points & Pearls Excerpt

  • Traumatic brain injury (TBI) should be considered if any of the following have occurred: motor vehicle crash, fall from significant height (>5 feet for patients aged ≥2 years or >3 feet for patients <2 years), penetrating trauma to the skull, loss of consciousness, signs of basilar skull fracture, and/or persistent vomiting.
  • Severe TBI can be divided into 2 distinct categories: primary injury and secondary injury. Primary injury is directly related to the initial impact and external force. Secondary injury is a complication of the primary injury that may develop over a period of hours to months and may be acute or chronic.
  • Noncontrast head CT remains the initial study of choice for rapid evaluation and diagnosis. For some injuries, including diffuse axonal injury and elevations in intracranial pressure (ICP), the initial CT scan may be negative. A normal CT scan does not rule out a significant injury, and repeat CT scans or an MRI may be required if the patient has neurologic deterioration or escalating ICP.
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Publication Information
Authors

Hilary Fairbrother, MD, MPH, FACEP; Kirsten Morrissey, MD, FAAP

Peer Reviewed By

Genevieve Santillanes, MD, FACEP, FAAP

Publication Date

June 15, 2024

CME Expiration Date

June 15, 2027    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma CME credits, subject to your state and institutional approval.

Pub Med ID: 38885364

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