Emergency Department Implementation of the Brain Trauma Foundation's Pediatric Severe Brain Injury Guideline Recommendations

Angela Lumba-Brown; Annette Totten; Patrick M Kochanek

doi:10.1097/PEC.0000000000001903

Emergency Department Implementation of the Brain Trauma Foundation's Pediatric Severe Brain Injury Guideline Recommendations

Pediatr Emerg Care. 2020 Apr;36(4):e239-e241. doi: 10.1097/PEC.0000000000001903.

Authors

Angela Lumba-Brown¹, Annette Totten², Patrick M Kochanek³

Affiliations

¹ From the Department of Emergency Medicine, Stanford Brain Performance Center, Stanford University School of Medicine, Stanford, CA.
² Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR.
³ Department of Critical Care Medicine, Safar Center for Resuscitation Research, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA.

PMID: 31804428
DOI: 10.1097/PEC.0000000000001903

Abstract

The "Guidelines for the Management of Pediatric Severe Traumatic Brain Injury, Third Edition: Update of the Brain Trauma Foundation Guidelines" published in Pediatric Critical Care Medicine in 2019 provides new and updated recommendations applicable to the emergency department management of children with severe traumatic brain injury. Practice-changing takeaways include specific recommendations for administration of 3% hypertonic saline, administration of seizure prophylaxis, and avoiding hyperventilation.

Publication types

Review

MeSH terms

Brain Injuries, Traumatic / therapy*
Child
Emergency Service, Hospital / standards*
Glasgow Coma Scale
Health Plan Implementation
Humans
Pediatrics / standards*
Practice Guidelines as Topic*
Saline Solution, Hypertonic / therapeutic use

Substances

Saline Solution, Hypertonic