Head trauma (peds): Difference between revisions
(Created page with "==Work-Up== See Peds: Head CT (Peds) == == ==Treatment== * sedate & paralize prn (barbiturate coma can decr metabolism & ICP) *pCO2 (target = 30-35) *HOB @ 30 degrees, ...") |
m (moved Head Trauma to Head Trauma (Minor) (Peds)) |
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Revision as of 22:19, 26 June 2011
Work-Up
See Peds: Head CT (Peds)
Treatment
- sedate & paralize prn (barbiturate coma can decr metabolism & ICP)
- pCO2 (target = 30-35)
- HOB @ 30 degrees,
- prevent jugular venous compression w/ c-collar
- Goal= maintain CPP (MAP-ICP), cpp of 40-65 is goal, better survival if 40-50
- Prevent hypotension
- Keep Hgb >
- Mannitol .25-1g/kg in boluses
- Dilantin
- Must operate on sig depressed skull fx
See Also
Peds: Head Trauma (Peds)
Peds: GCS (Peds)
Peds: Concussion
Peds: Skull Fracture
Peds: Abuse (Nonaccidental Trauma)
Trauma: Head Trauma (Adult)
Source
Adapted from Rosen, Lampe, Gausche, Mistry, Donaldson