Bottom Line Recommendations: Severe Head Injury

• 2022

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• Suzanne Beno; Joe Nemeth

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About

This document provides guidelines for managing severe head injuries in children. It describes how to assess and stabilize kids with a Glasgow Coma Scale (GCS) score of 8 or less, focusing on preventing further brain injury. Key steps include maintaining airway and blood pressure, recognizing signs of brain swelling, and avoiding delays in transport to specialized care. The guide also lists medications for pain relief, sedation, intubation, and reducing intracranial pressure. Developed by experts from various fields, it aims to help healthcare providers treat pediatric traumatic brain injuries effectively while considering unique child anatomy and physiology.

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Tags

Focus Area: Trauma

Audience: Physicians

Emergency Management Stage: Response

Keywords: Emergency Medical Services; Glasgow Coma Scale; Pain; Airway Management; Intracranial Hypertension; Guidelines as Topic; Practice Guidelines as Topic; Guideline; Emergency Service, Hospital; Neuroimaging; Brain Injuries, Traumatic; Practice Guideline; Pediatric Emergency Medicine

Institutions: Translating Emergency Knowledge for Kids (TREKK); EMSC Innovation and Improvement Center (EIIC)

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The information provided on this website is for educational purposes only. It does not substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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