ABSTRACT
The management of pediatric closed head injury has progressed over the last decade; however, the involvement of children in trauma causing significant injury to the central nervous system remains a public health problem. Prevention continues to be central to reducing its impact. Secondary injury to the brain may be reduced through aggressive treatment of hypoxia, hypotension, hyperthermia, and raised intracranial pressure. Therapy instituted in the field, the ED, the operating room, the ICU, and the rehabilitation ward is crucial for recovery. Although acute treatment may be extrapolated from the adult literature and practice patterns, therapy for children must be individualized on the basis of injury, age, and response to care.
KEYWORDS
Pediatric - closed head injury - traumatic brain injury