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Pediatria pre prax 1/2005
PRE-HOSPITAL CARE OF CHILDREN WITH TRAUMATIC BRAIN INJURY
The ultimate neurological outcome following severe head trauma depends on the extent of primary brain injury sustained at the time of the trauma itself, and on the extent of secondary brain injury resulting from hemodynamic, biochemical and metabolic changes in consequence of primary insult. Secondary brain injury can be prevented by neurocritical care management. This must be initiated as soon as possible, ideally at prehospital setting. Adequate ventilation, oxygenation and hemodynamic stabilization are the prerequisites to successful therapy of the severe traumatic brain injury.
Keywords: traumatic brain injury, pediatric, prehospital care.
