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 Vol. 10 No. 6, December 2003
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AAP Grand Rounds 10:73-74 (2003)
© 2003 American Academy of Pediatrics

NEUROLOGICAL SURGERY

Severe Traumatic Brain Injury in Childhood—Guidelines

Source: Carney NA, Chesnut R, Kochanek PM, et al. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. J Trauma. 2003;54(suppl):S235–S310.[Medline]

The first 20% of the full text of this article appears below.

Evidence-based guidelines for the management of severe head injury among adults first appeared in 1995 at the initiative of the Brain Trauma Foundation, the American Association of Neurological Surgeons, and the Joint Section on Neurotrauma and Critical Care. Skeptics initially viewed this effort ("The Guidelines" in neurosurgical conversation) as an academic edifice built on a foundation of weak clinical research, but although there has been no dispute about the need for more and better research, the Guidelines have, nevertheless, moved the practice of trauma care forward. The Guidelines have spotlighted important research questions, stimulated examination of practice variation in traumatic brain injury (TBI) care, and discouraged antiquated and potentially harmful interventions such as dehydration, steroid administration, . . . [Full Text of this Article]

Joseph H. Piatt, Jr, MD, FAAP
Neurological Surgery and Pediatrics, Drexel University College of Medicine, St Christopher’s Hospital for Children, Philadelphia, PA