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Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Protect the brain — initial stabilisation of major paediatric head injury

A bedside structured clinical encounter testing recognition of severe paediatric traumatic brain injury, leadership of the neuroprotective primary survey with cervical spine control, airway threshold, ventilation target, fluid strategy, raised intracranial pressure management, communication, early neurosurgical escalation and safe transfer.

structured clinical encounter (neuroprotection leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A six-year-old child is brought to the emergency department after being struck by a car at speed, with a brief loss of consciousness at the scene and a Glasgow Coma Scale of 7 on arrival.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses recognition of severe traumatic brain injury, leadership of the neuroprotective primary survey with cervical spine control, airway threshold, ventilation target, fluid strategy, raised intracranial pressure management, communication, reassessment, neurosurgical escalation and safe transfer. [8] [11]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References6ShowHide
  1. [1]Kochanek PM, Carney N, Adelson PD, et al. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents--second edition Pediatric critical care medicine, 2012.PMID 22217782
  2. [2]Kochanek PM, Adelson PD, Rosario BL, et al. Comparison of Intracranial Pressure Measurements Before and After Hypertonic Saline or Mannitol Treatment in Children With Severe Traumatic Brain Injury JAMA network open, 2022.PMID 35267036
  3. [5]Laws JC, Vance EH, Betters KA, et al. Acute Effects of Ketamine on Intracranial Pressure in Children With Severe Traumatic Brain Injury Critical care medicine, 2023.PMID 36825892
  4. [7]Erickson SL, Killien EY, Wainwright M, et al. Mean Arterial Pressure and Discharge Outcomes in Severe Pediatric Traumatic Brain Injury Neurocritical care, 2021.PMID 33108627
  5. [8]Mai G, Lee JH, Caporal P, et al. Prehospital and emergency management of pediatric traumatic brain injury: a multicenter site survey Journal of neurosurgery Pediatrics, 2023.PMID 38716719
  6. [11]de Carvalho Panzeri Carlotti AP, do Amaral VH, de Carvalho Canela Balzi AP, et al. Management of severe traumatic brain injury in pediatric patients: an evidence-based approach Neurological sciences, 2025.PMID 39476094
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