Head injury in children: From Lumps and Bumps to Bolts

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Second impact syndrome• potentially fatal• athlete sustains second blow to thehead before completely recoveringfrom a first concussion• Diffuse swelling, loss ofautoregulation• Pt. Collapses with dilated pupils andherniation after walking around dazed• children and teenagers moresusceptible
Return to Competition• Grade 1observe for 20 minutes.Return if all symptoms are goneif not gone in 20 minutes, no playfor 1 week and if asymptomatic
Page 1 and 2: Head injury in children: FromLumps
Page 3 and 4: Mild head Injury (MTBI)• “Ding
Page 5 and 6: Age and Mortality• Mortality less
Page 7 and 8: Time Line to RecoveryAfter Severe H
Page 9 and 10: Skull fracture• Linear• Basal
Page 11 and 12: Growing skull fracture• Leptomeni
Page 13 and 14: Leptomeningocele cyst
Page 15 and 16: Posterior Fossa SubduralHematoma•
Page 17 and 18: Subdural hematoma
Page 19 and 20: Subdural hematomaremoval
Page 21 and 22: Epidural hematoma
Page 23 and 24: Epidural hematoma
Page 25 and 26: Contusion• Basal frontaland tempo
Page 27 and 28: Focal Injury - Basal Contusion• I
Page 29 and 30: Cerebellar herniation• Cerebellar
Page 31 and 32: Diffuse axonal shear injury• Comm
Page 33 and 34: Cerebral edema• Increased brainti
Page 35 and 36: Shaken baby syndrome• Severe shak
Page 37 and 38: Non-accidental headtrauma
Page 39 and 40: Fat Embolism• Diffuse whitematter
Page 41 and 42: Postconcussive syndrome• Headache
Page 43: Concussion classification• Grade
Page 47 and 48: Return to Competition• Grade 3ter
Page 49 and 50: Intracranial pressure• Cushing’
Page 51 and 52: Pressure Volume Index• PVI is the
Page 53 and 54: Origin of “A” Waves• Low comp
Page 55 and 56: Severe head injury - ICPmonitoring
Page 57 and 58: Hyperventilation• Lower CO2 resul
Page 59 and 60: Management of IncreasedICP• Sedat
Page 61 and 62: Management of Increased ICP• Brai
Page 63 and 64: Brain Compliance and ICP• Child n
Page 65 and 66: Aggressive treatment ofsevere head
Page 67 and 68: Clearing the child’scervical spin
Page 69 and 70: Open mouth C2 viewsA-O junctionC1De
Page 71 and 72: Atlanto-occipitaldislocationBasion
Page 73 and 74: C2 - C3 Pseudosubluxation
Page 75 and 76: Correctable problems• Epidural he
Page 77 and 78: Lap belt injuries• Upper lumbar
Page 79 and 80: • Mechanism of injury evaluatedfi

Head injury in children: From Lumps and Bumps to Bolts

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