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Paediatric head injury 

Paediatric head injury
Chapter:
Paediatric head injury
Author(s):

Fleur Cantle

DOI:
10.1093/med/9780199654093.003.0005
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date: 16 February 2020

This chapter provides an overview of the challenges facing the emergency physician dealing with a child with a deteriorating head injury. It describes the differences in incidence and injury patterns between the adult and paediatric population and the key decision-making tools and initial treatment options available in the emergency department.

It examines the evidence base for three key clinical questions: which children require immediate CT neuroimaging; the role of hypertonic saline in reducing the intracranial pressures of a traumatic brain injury; and finally the role of therapeutic cooling in outcomes in brain injury. Consideration is given to the issue of concurrent neck injuries and the chapter looks forward to future biomarkers that may stratify paediatric head injuries further.

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