CT brain interpretation in paediatric trauma.

Autor:	Woods A; Emergency Department, Royal Victoria Hospital, Belfast, UK adam.woods@belfasttrust.hscni.net.; Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK., Sheikh Y; Department of Radiology, Children's Health Ireland at Temple Street, Dublin, Ireland., Quinn N; Department of Emergency Medicine, Children's Health Ireland at Temple Street, Dublin, Ireland.; National Office for Trauma Services, Health Service Executive, Dublin, Ireland., Guinness F; Department of Emergency Medicine, Children's Health Ireland at Temple Street, Dublin, Ireland., Daly A; Radiology Department, Craigavon Area Hospital, Portadown, UK., Mullen S; Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, UK.; Queen's University Belfast, Belfast, UK.
Jazyk:	angličtina
Zdroj:	Archives of disease in childhood. Education and practice edition [Arch Dis Child Educ Pract Ed] 2024 Jun 18. Date of Electronic Publication: 2024 Jun 18.
DOI:	10.1136/archdischild-2023-326674
Abstrakt:	The management of head trauma is an essential component of working in Emergency Medicine, be it a paediatric, adult or mixed emergency department. Between 33% and 50% of the 1.4 million people who attend UK emergency departments (ED) annually with a head injury are children. Patient outcomes in this cohort are strongly associated with rapid identification and treatment of intracranial pathology. The management of pathologies such as expanding intracranial haemorrhage and raised intracranial pressure requires urgent medical and neurosurgical treatment. This is facilitated by rapid interpretation of CT brain images in the ED. In this paper, we discuss the approach to interpretation of a CT brain following a traumatic head injury. While this is not a substitute for a formal radiologist report, being able to identify significant abnormalities may help you, as the treating clinician, to identify and manage any acute life threats; engage and potentiate discussion with your neurosurgical team and expedite the potential transfer and treatment of your patient. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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