Big Kids: Utilizing the Brain Injury Guidelines in a Pediatric Trauma Center
Critical Care Medicine
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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).
Critical Care | Pediatrics
Ari, J. B.,
Big Kids: Utilizing the Brain Injury Guidelines in a Pediatric Trauma Center.
Critical Care Medicine, 49(1),