Children’s Hospital Association’s Post

Addressing pediatric traumatic brain injury (TBI) necessitates a global strategy, recognizing the unique challenges and varied incidence worldwide. Swift and precise acute management is paramount for children and adolescents, followed by comprehensive rehabilitation. A collaborative approach spanning prevention, acute care, and ongoing support is essential. By prioritizing research, education, and evidence-based practices, we pave the way to redefine outcomes. Together, we can craft a narrative of resilience, recovery, and hope for the well-being of children globally. #PediatricTBI #GlobalHealth #ResilienceAndRecovery

ICS Virtual Heartland Symposium - General Physical Examination of the Young Pediatric Patient, including Complete Newborn Neurological Assessment This course aids in assessing newborns' neurological function, including cranial nerves... Register here: https://lnkd.in/gZ4Mgfdu

Understanding and Addressing Pediatric Traumatic Brain Injury https://lnkd.in/gt2WVAFn

World's first epilepsy device fitted in 13 year old UK boy's skull; Here's how the device works https://lnkd.in/gaxE9g3S

Safety of vagus nerve stimulation and responsive neurostimulation used in combination for multifocal and generalized onset epilepsy in pediatric patients

ICS Virtual Heartland Symposium - General Physical Examination of the Young Pediatric Patient, including Complete Newborn Neurological Assessment This course aids in assessing newborns' neurological function, including cranial nerves... Register here: https://lnkd.in/g2XiWpiB

Great article about the use of ambulatory EEG with pediatric patients. #acns, #ambulatory EEG, #EEG, #epilepsy

📃Scientific paper: Craniosynostosis: A Pediatric Neurologist’s Perspective Abstract: Craniosynostosis is premature fusion of sutures of the cranium, resulting in an abnormal skull shape and restriction of brain growth. It may affect either a single suture or multiple sutures. In most cases, craniosynostosis is secondary to an underlying abnormality of the growing brain; however, syndromic craniosynostosis is not uncommon. It might lead to several complications such as raised intracranial pressure, neurological deficits, and neurodevelopmental disabilities. Pediatric neurologists do play a significant role in early identification and treatment, and thereby ensure a better clinical and neurodevelopmental outcome in such children. Discover the rest of the scientific article on es/iode ➡️https://etcse.fr/VGu

Controversies in Pediatric and Adult Traumatic Brain Injury Care was discussed at #WorldTraumaSymposium by Jeffery Elder and LJ Relle from NOLA EMS. A fantastic series of case studies at #EMSWorldExpo2023. A few of their highlights: -the presence of hypotension and altered mental state is a grave concern in the field. You are not perfusing the brain. -resuscitation is an exercise in logistics. Good coordination of your resources will help improve outcomes. And for the love, don’t start resuscitation with a C-collar and long board. Instead position the head to maximizing ventilation and oxygenation. -nasal pharyngeal airways are not a dirty word in TBI. If the cranial vault isn’t compromised then the NPA is a wonderful tool to aid in ventilation. -we really do not know what the best strategies are in prehospital TBI care. Nothing has been to shown to clearly improve outcomes. However, we do know allowing hypoxia, hypotension, and hypocarbia worsens outcomes! -yes prehospital intubation is controversial in TBI. However it is probably more of an issue of how patients are ventilated before and after the intubation vs the intubation itself. If you take over ventilations and then hypo or hyperventilate (latter is more common) you can destroy cerebral perfusion. -when you take over ventilations and switch to PPV you lose preload. This changes the patient’s perfusion and contributes to mortality. If you can allow the patient to breath on their own adequately and they protect their airway, then let them breathe (with supplemental oxygen). -there is a role for hypertonic saline in the profoundly critical sTBI patient. but to give it, you need to have an accurate GCS score. -it is time to stop pretending we have GCS score calculations memorized. Use a guide to ensure accuracy, especially in pediatric patients! Nobody is calculating peds GCS scores often enough to have them memorized. -TXA administration in moderate and severe TBI is a hot debate (and the speakers acknowledged this). Crash-3 showed no difference in 28-day mortality suggesting TXA doesn’t help. However it also didn’t show harm AND the sub analysis showed an absolute risk reduction of 1.7% so we probably need to continue the research there. [editorial comment here: the sub analysis was also under powered AND the treating physician had choice of use which creates selection bias] -Seizure prevention. There isn’t good prehospital data on seizure prevention but we know seizures are bad. May be worth considering with signs of increased ICP National Association of Emergency Medical Technicians Brain Trauma Foundation #Trauma #EMS #paramedic

If adding more medication is not likely to help drug-resistant epilepsy, what are the treatment options? Check out the latest episode of @TSCAlliance podcast TSC Now where they discuss drug-resistant epilepsy (DRE), how it can impact quality of life and treatment options beyond medication. https://lnkd.in/gHr9RR9r VNS Therapy™ is indicated for use as an add-on treatment designed for people with drug-resistant epilepsy 4 years of age and older with partial onset seizures. Tuberous Sclerosis Complex (TSC) may include partial onset seizures. See LivaNova’s Physician Manual for a full listing of Indications, Contraindications, Warning and Precautions. View Important Safety Information about VNS Therapy™ at www.vnstherapy.com/safety #VNSTherapy