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Chapter 21 - Paediatric Head Injury Management

Published online by Cambridge University Press:  28 April 2020

Peter C. Whitfield
Derriford Hospital, Plymouth
Jessie Welbourne
University Hospitals, Plymouth
Elfyn Thomas
Derriford Hospital, Plymouth
Fiona Summers
Aberdeen Royal Infirmary
Maggie Whyte
Aberdeen Royal Infirmary
Peter J. Hutchinson
Addenbrooke’s Hospital, Cambridge
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Fundamentally, the management of children who have sustained traumatic brain injuries (TBI) follows the same paradigm as management in adults – primary surgery to remove mass lesions and prevention of secondary injury with high-quality intensive care. However, there are some important nuances, particularly in infants and smaller children, which the practitioner should be aware of. Increasingly (particularly in the UK, following the introduction of the ‘safe and sustainable’ concept of centralised services1), children with TBI are managed by subspecialist paediatric neurosurgeons. However, all neurosurgeons at some point are likely to be asked to look after (or at least triage) a child with a TBI, and this chapter will hopefully lay out the necessary information to aid in such a situation.

Traumatic Brain Injury
A Multidisciplinary Approach
, pp. 258 - 274
Publisher: Cambridge University Press
Print publication year: 2020

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