{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T04:59:35Z","timestamp":1698037175024},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>Pre\u2013trauma center care is a critical component in severe pediatric traumatic brain injury (TBI). For geographically large trauma catchment areas, optimizing increased intracranial pressure (ICP) management may potentially improve outcomes. This retrospective study examined ICP management in nontrauma centers and during interfacility transport to the trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Charts from a pediatric level I trauma center were reviewed for admissions between 2008 and 2013. Patients with a Glasgow Coma Scale score of 8 or less, head Abbreviated Injury Scale score of 3 or higher, and requiring intubation at a nontrauma center were included. Exclusion criteria included head injury secondary to drowning, stroke, obstetrical complications, asphyxia, and afflicted head trauma (younger than 5 years). Trauma center charts contained coalesced data from first responders, nontrauma centers, and transport.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Twenty-five patients (74%) had increased ICP upon admission at trauma center, 48% experienced ICPs greater than 20 cm H<jats:sub>2<\/jats:sub>O within 12 hours of admission, 12% required an urgent craniotomy, and 16% had herniation syndromes on neuroimaging. Pre\u2013trauma center ICP management included osmotherapy and head-of-bed elevation. Sixty-four percent of patients with increased ICP at trauma center admission received pre\u2013trauma center ICP management.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Early increased ICP is a common presentation of severe pediatric TBI during pre\u2013trauma center management. However, what constitutes optimal care remains unknown. Given the difficulties of diagnosing early increased ICP in this setting, prophylactic raising ICP-lowering strategies may be considered.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000000758","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T12:11:51Z","timestamp":1464955911000},"page":"330-333","source":"Crossref","is-referenced-by-count":2,"title":["Pre\u2013Trauma Center Management of Intracranial Pressure in Severe Pediatric Traumatic Brain Injury"],"prefix":"10.1097","volume":"34","author":[{"given":"Gregory","family":"Hansen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick J.","family":"McDonald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doug","family":"Martin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff K.","family":"Vallance","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib1-20231023","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/BF01655923","article-title":"Comprehensive regional trauma\/emergency medical services (EMS) delivery systems: the United States experience","volume":"7","year":"1983","journal-title":"World J Surg"},{"key":"bib2-20231023","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.injury.2015.01.008","article-title":"The influence of prehospital time on trauma patients outcome: a systematic review","volume":"46","year":"2015","journal-title":"Injury"},{"issue":"suppl 1","key":"bib3-20231023","first-page":"S1","article-title":"Guidelines for prehospital management of traumatic brain injury 2nd edition","volume":"12","year":"2008","journal-title":"Prehosp Emerg Care"},{"key":"bib4-20231023","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.1097\/PCC.0b013e3181f36f6e","article-title":"First responder performance in pediatric trauma: a comparison with an adult cohort","volume":"12","year":"2011","journal-title":"Pediatr Crit Care Med"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/S0022-3468(00)80019-6","article-title":"Prehospital triage in the injured pediatric patient","volume":"35","year":"2000","journal-title":"J Pediatr Surg"},{"key":"bib6-20231023","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/1067-991X(95)90513-8","article-title":"Analysis of prehospital pediatric and adult intubation","volume":"14","year":"1995","journal-title":"Air Med J"},{"key":"bib7-20231023","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1542\/peds.88.4.681","article-title":"Pediatric prehospital care in urban and rural areas","volume":"88","year":"1991","journal-title":"Pediatrics"},{"issue":"suppl 3","key":"bib9-20231023","first-page":"S1","article-title":"Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents","volume":"4","year":"2003","journal-title":"Pediatr Crit Care Med"},{"key":"bib10-20231023","doi-asserted-by":"crossref","first-page":"2626","DOI":"10.1001\/jama.293.21.2626","article-title":"Access to trauma centers in the United States","volume":"293","year":"2005","journal-title":"JAMA"},{"key":"bib11-20231023","first-page":"1350","article-title":"Access to trauma systems in Canada","volume":"69","year":"2010","journal-title":"J Trauma"},{"key":"bib12-20231023","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1097\/TA.0b013e3182782675","article-title":"Patients with severe traumatic brain injury transferred to a Level I or II trauma center: United States, 2007 to 2009","volume":"73","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"key":"bib13-20231023","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/PCC.0b013e31823f435c","article-title":"Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents\u2014second edition","volume":"13","year":"2012","journal-title":"Pediatr Crit Care Med"},{"key":"bib15-20231023","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4103\/2229-5151.134152","article-title":"Pediatric neurotrauma","volume":"4","year":"2014","journal-title":"Int J Crit Illn Inj Sci"},{"key":"bib16-20231023","doi-asserted-by":"crossref","first-page":"1542","DOI":"10.1227\/NEU.0b013e3181fa7049","article-title":"Mortality in children with severe head trauma: predictive factors and proposal for a new predictive scale","volume":"67","year":"2010","journal-title":"Neurosurgery"},{"key":"bib17-20231023","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/TA.0b013e31822a9512","article-title":"Monitoring and prediction of intracranial hypertension in pediatric traumatic brain injury: clinical factors and initial head computed tomography","volume":"72","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"key":"bib18-20231023","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/01.PCC.0000298759.78616.3A","article-title":"Prediction of raised intracranial pressure complicating severe traumatic brain injury in children: implications for trial design","volume":"9","year":"2008","journal-title":"Pediatr Crit Care Med"},{"key":"bib19-20231023","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1159\/000343385","article-title":"Delayed intracranial hypertension and cerebral edema in severe pediatric head injury: risk factor analysis","volume":"48","year":"2012","journal-title":"Pediatr Neurosurg"},{"key":"bib20-20231023","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1007\/s12028-008-9183-7","article-title":"Patterns of increased intracranial pressure after severe traumatic brain injury","volume":"10","year":"2009","journal-title":"Neurocrit Care"},{"key":"bib21-20231023","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00381-009-1034-0","article-title":"Intracranial pressure monitoring for traumatic brain injury in the modern era","volume":"26","year":"2010","journal-title":"Childs Nerv Syst"},{"key":"bib22-20231023","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/s12028-010-9477-4","article-title":"Osmotherapy: use among neurointensivists","volume":"14","year":"2011","journal-title":"Neurocrit Care"},{"key":"bib23-20231023","first-page":"640","article-title":"Osmotherapy for intracranial hypertension: mannitol versus hypertonic saline","volume":"18","year":"2012","journal-title":"Continuum (Minneap Minn)"},{"key":"bib24-20231023","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/PCC.0b013e318219295b","article-title":"Intracranial pressure: influence of head-of-bed elevation, and beyond","volume":"13","year":"2012","journal-title":"Pediatr Crit Care Med"},{"key":"bib25-20231023","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1097\/PCC.0b013e31820ac2ad","article-title":"Intracranial pressure and cerebral perfusion pressure responses to head elevation changes in pediatric traumatic brain injury","volume":"13","year":"2012","journal-title":"Pediatr Crit Care Med"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201805000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T02:11:30Z","timestamp":1698027090000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201805000-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000758","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}