Head trauma (peds)

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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

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