OBJECTIVE To verify the prevalence of acute hyperglycemia in children with head trauma stratified by the Glasgow coma scale (GCS). METHOD A prospective cross-sectional study carried out with information from medical records of pediatric patients presenting with head injury in the emergency room of a referral emergency hospital during a one year period. We considered the cut-off value of 150 m...

Pediatric abusive head trauma – once commonly known as the shaken baby syndrome – is a form of child abuse that results in traumatic brain injury. The peak incidence of pediatric abusive head trauma appears to be in children between the ages of 2 to 4 months; the exact incidence of this injury is not known. Pediatric abusive head trauma often results in severe and permanent neurological damage,...

introduction: to date, many prognostic models have been proposed to predict the outcome of patients with traumatic brain injuries. external validation of these models in different populations is of great importance for their generalization. the present study was designed, aiming to determine the value of crash prognostic model in prediction of 14-day mortality (14-dm) and 6-month unfavorable ou...

Abusive head trauma causes significant morbidity and mortality in infants and young children. The diagnosis of abusive head trauma can be difficult. Emergency medical providers frequently have initial contact with patients presentingwith abusive head injuries. It is important for emergency medical providers to consider child abuse in the differential diagnosis of head trauma and to know how to ...

PURPOSE To examine variation in pediatric trauma head CT imaging protocols in Washington state. METHODS A web-based survey was sent to trauma-designated hospitals in Washington state. Respondents were queried about pediatric head trauma volumes, type of CT scanners, and technical information about the CT imaging protocols. Variation in pediatric trauma volumes, CT dose reduction strategies, a...

introduction : very severe head trauma cases, defined as glasgow coma scale (gcs) scores of less than 6, have a higher mortality rate and poorer outcome. the purpose of this study was to recognize factors associated with survival and 6-month favorable outcome of very severe head trauma patients presenting to emergency department.  methods: in this historical cohort study, the authors retrospect...

OBJECTIVES Abusive head trauma is a leading cause of traumatic death and disability during infancy and early childhood. Evidence-based screening tools for abusive head trauma do not exist. Our research objectives were 1) to measure the predictive relationships between abusive head trauma and isolated, discriminating, and reliable clinical variables and 2) to derive a reliable, sensitive, abusiv...

BACKGROUND AND PURPOSE Accurate differentiation of abusive head trauma and accidental head injury in infants and young children is critical and impacts clinical care, patient prognosis, forensic investigations, and medicolegal proceedings. No specific finding seen on cross-sectional brain imaging has been reported to distinguish abusive head trauma from accidental injury. Our study investigated...