Big Kids: Utilizing the Brain Injury Guidelines in a Pediatric Trauma Center

Authors

Allison McNickle, University of Nevada, Las VegasFollow
Judith Ben Ari, University Medical Center of Southern Nevada
Stephanie Streit, University of Nevada, Las VegasFollow
Mais Yacoub, University Medical Center of Southern Nevada
Stephanie Jones, University of Nevada, Las VegasFollow
Douglas Fraser, University of Nevada, Las VegasFollow

Document Type

Abstract

Publication Date

1-1-2021

Publication Title

Critical Care Medicine

Volume

49

Issue

1

First page number:

657

Last page number:

657

Abstract

Introduction: Brain Injury Guidelines (BIG) were developed to stratify the severity of traumatic brain injuries (TBI) and decrease the overuse of repeat CT imaging and neurosurgical consultation. Injuries are classified as mild (BIG-1), moderate (BIG-2) or severe (BIG-3) based on size and quantity of bleeds, skull fractures, neurological exam/GCS and transfer status. We retrospectively reviewed the application of our modified BIG criteria to the pediatric trauma population. Methods: Pediatric TBIs were queried from our Level II Pediatric Trauma Registry for 2018-2019. Children with polytrauma, GSWs and those who died prior to admission were excluded. Datasets included age, ISS, transfer status, admission location, repeat head CT, neurosurgical consultation or intervention and mortality. Statistical significance was set at p... (See full abstract in article).

Disciplines

Critical Care | Pediatrics

Language

English

Repository Citation

McNickle, A., Ari, J. B., Streit, S., Yacoub, M., Jones, S., Fraser, D. (2021). Big Kids: Utilizing the Brain Injury Guidelines in a Pediatric Trauma Center. Critical Care Medicine, 49(1), 657-657.
http://dx.doi.org/10.1097/01.ccm.0000731096.29071.93