New evidence-based guidelines, developed by the Centers for Disease Control and Prevention (CDC) with input from the American College of Emergency Physicians (ACEP) and others, detail the treatment recommendations for those who detect and manage pediatric mild traumatic brain injury.
The CDC recommendations are outlined in an Annals of Emergency Medicine editorial and span diagnosis, prognosis, management, and treatment in a variety of clinical settings.
From 2005-2009, there were almost 3 million emergency visits for pediatric mild traumatic brain injury, according to the CDC, according to a media release from the American College of Emergency Physicians.
“The experts in emergency departments are often the first care providers to evaluate a child’s head injury,” says Angela Lumba-Brown, MD, pediatric emergency physician, lead author, and clinical assistant professor of emergency medicine at Stanford University.
“These guidelines standardize a framework for recognizing, treating and managing a child’s recovery from mild traumatic brain injury—encouraging appropriate use of diagnostic imaging, safe prescribing, and making sure each child, family, or caretaker is equipped with the information they need for a quick and safe recovery.”
Key recommendations include that mild traumatic brain injury does not require imaging in an acute care setting. Computed tomography (CT) imaging should be considered when there is suspicion of more severe forms of injury, the authors write. The CDC suggests that clinicians screen for risk factors because recovery will vary by individual characteristics, the release explains.
In addition, the emergency department should prescribe non-opioid analgesics as well as offer counseling about the risks of overuse. The child and family should be educated before discharge about the warning signs for more serious injury and the expected course of recovery. And, the new recommendations call for providers to describe healthy sleep habits and other strategies to help facilitate recovery, the release continues.
The CDC offers new tools that can help health care providers with implementation of the guidelines, including a checklist for diagnosis and management; patient discharge instructions; recovery tips for parents to support their child; and a letter to schools to be filled in by healthcare providers.
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[Source(s): Annals of Emergency Medicine, PR Newswire]