Pediatric Head Trauma Guidelines – Guideline Knowledge Check

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Medical News, Nurse Practitioner, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

Pediatric head trauma guidelines

Pediatric Head Trauma Guidelines for Pediatric Traumatic Brain Injury: Case

The Brain Trauma Foundation updated their guidelines for severe pediatric traumatic brain injury in 2019. To what degree do these guidelines replace the 2018 Advanced Life Support (ATLS) guidelines on all (mild and severe) traumatic pediatric brain injuries?

Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine Editor-in-Chief, Andrea Eberly, MD, FAAEM.

Subscribe for More

Get more Guideline Knowledge Checks
Subscribe

Try this review question and find out if you’re following the most current pediatric head trauma guidelines.

A 3-year-old girl presents to the emergency department (ED) after falling down 3 stairs.

She has a 2-cm hematoma on the forehead at the lateral prominence of the left supraorbital ridge.

She is awake and alert with a Glasgow Coma Scale (GCS) score of 15.

Although she is occasionally tearful, she is not agitated or slow to respond.

She has no history of loss of consciousness, vomiting, or severe headache.

On physical examination, her vital signs are normal, and she has no periorbital or mastoid ecchymosis, or hemotympanum.

Her fundi are difficult to examine, but appear normal.

Her neurologic examination is unremarkable.

Question:

Which of the following statements is true regarding the work-up and management of this patient’s head injury?

Answer Options:

Computed tomography (CT) of the head is indicated.

The patient should be observed in the ED for 3 hours.

The patient should be admitted for 24 hours to undergo serial neurologic examinations.

The risk of clinically important traumatic brain injury (TBI) is low and the patient can be discharged home.

See the Answer:

2021 Opioid Cardiac Arrest Guidelines - Guideline Knowledge Check

About Guideline Knowledge Checks:

With each update of national clinical practice guidelines, some recommendations change and many remain unchanged. Med-Challenger Guideline Knowledge Checks help you know both what is new and what has stayed the same in the most recent guidelines pertinent to each medical specialty.

About the Author:

Andrea Eberly, MD, FAAEM graduated from the David Geffen Medical School of Los Angeles (UCLA) and completed her residency in Emergency Medicine at the University Medical Center, Tucson, Arizona. After working as an attending physician in Tucson, she followed a recruiting call to the island of Guam, where she served in various roles, including as the director of the emergency department, the EMS Medical Director of Guam, and the Director of the 911 Call System. She has maintained her emergency medicine board certification through three cycles of American Board of Emergency Medicine Board Exams (last in 2014), all three with the help of Med-Challenger.


Related Posts

More from Med-Challenger

The Leader in Online Board Review, CME Courses, and Medical Education

Did you like this?
Get more free medical Q&A and informative CME articles.

Subscribe to the Medical Education Blog

SubscribeGet notified of more Q&A challenges.

More from Med-Challenger's Medical Education Blog

Board Review & CME Offers

Med-Challenger provides online medical education, top-rated board review courses, annual MOC and CME credit solutions for physicians, nurses, PAs and students.  Take advantage of our current offers.

2022 Cyber Sale

Save 15% on ANY ORDER with code:

"CYBER"

including PRO bundles.

Learn More
Contact us for upgrade & bulk pricing.

Enter code at checkout. SHOP NOW.


Enter Store
See All Offers

PRO

Career Value Bundles

EVERYTHING
in your specialty.

One-time purchase.
Useful every year.

Ideal use your CME budget.

emergency medicine PRO bundle
family medicine PRO bundle
internal medicine PRO bundle
pediatric medicine PRO bundle
nurse practitioner PRO bundle
physician assistant PRO bundle

Buy or upgrade ONCE.
Save up to 55% and save time, money, and stress - every year.

View All Options