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Paediatric head injury: incidence, aetiology and management
Author(s) -
Hiu Lam W.,
Mackersie Angela
Publication year - 1999
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1999.00431.x
Subject(s) - medicine , etiology , head trauma , head injury , incidence (geometry) , pediatrics , intensive care medicine , psychological intervention , traumatic brain injury , emergency medicine , surgery , psychiatry , physics , optics
Summary Trauma is the commonest cause of hospital admission in children. Head injuries are present in 75% of children with trauma and 70% of all traumatic deaths are due to the head injury. The mechanism of brain injury is examined, resulting from the effects of the primary insult and secondary ischaemic damage. Therapeutic interventions will be discussed with specific emphasis on outcome studies. However, institution of adequate oxygen delivery and haemodynamic stability in the child at the earliest moment remains the most important aspect of the management plan.