In many children with severe traumatic brain injury, life-saving supportive therapies are initiated by emergency clinicians. Whenever possible, these patients should then be managed by specialists with pediatric expertise, including neurosurgeons and intensivists. This article talks about the initial management strategies in for children with TBI. The initial management of children with severe traumatic brain injury (TBI) includes meticulous attention to the support of airway, breathing, and circulation in order to prevent secondary injury.
Specific therapies may be initiated as indicated to minimize and/or treat increased intracranial pressure (ICP). Airway and breathing General principles of airway management for children include techniques for opening and maintaining an airway, bag-mask ventilation, and tracheal intubation. However, specific considerations for the management of…
