Pediatric emergency medicine trisk 3660 3660

Clinical Indications for Discharge. Unilateral, linear, nondepressed skull
fractures without underlying intracranial injury in patients who do not have
a distracting traumatic injury with a normal neurologic examination may be
discharged from the pediatric ED. If there is any apprehension regarding the
potential for nonaccidental trauma, social work consultation, as well as
neurosurgical or surgical consultation, should be obtained prior to
discharge.
Suggested Readings and Key References
Adelson PD, Wisniewski SR, Beca J, et al; Paediatric Traumatic Brain
Injury Consortium. Comparison of hypothermia and normothermia after
severe traumatic brain injury in children (cool kids): a phase 3,
randomized controlled trial. Lancet Neurol 2013;12(6):546–553.
Anderson V, Catroppa C, Morse S, et al. Recovery of intellectual ability
following traumatic brain injury in childhood: impact of injury severity
and age at injury. Pediatric Neurosurg 2000;32:282–290.
Babl FE, Borland ML, Phillips N, et al. Accuracy of PECARN, CATCH,
and CHALICE head injury decision rules in children: a prospective
cohort study. Lancet 2017;389(10087):2393–2402.
Bracken MB. Steroids for acute spinal cord injury. Cochrane Database Syst
Rev 2012;1:CD001046.
Bressan S, Marchetto L, Lyons TW, et al. A systematic review and metaanalysis of the management and outcomes of isolated skull fractures in
children. Ann Emerg Med 2018;71(6):714–724.e4.
Bressan S, Romanato S, Mion T, et al. Implementation of adapted PECARN
decision rule for children with minor head injury in the pediatric
emergency department. Acad Emerg Med 2012;19(7):801–807.
Centers for Disease Control and Prevention. Surveillance Report of
Traumatic Brain Injury-Related Emergency Department Visits,
Hospitalizations, and Deaths—United States, 2014 . Atlanta, GA: US
Department of Health and Human Services, CDC; 2019. Available at
HTTPS://www.cdc.gov/traumaticbraininjury . Accessed April 27, 2019.
Davis GA, Anderson V, Babl FE, et al. What is the difference in concussion

management in children as compared with adults? A systematic review.
Br J Sports Med 2017;51:949–957.