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This is the Pediatric EMS Podcast with the mission to provide case-based discussion with evidence-based recommendations by content experts in prehospital pediatric medicine in order to advance the care of children outside the hospital.

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  2. How To Approach Pediatric Traumatic Brain Injury: The Evidence and the Anatomy

Oct 24, 2024

This episode is brought to you by Styker Medical Corporation with their comittment to improving medical education. In this episode we discuss the priorities of pediatric head and cervical spine imagine with the experts in the fields of Pediatric Emergency Medicine and Neurosurgery. Learn from those who know about how to manage your next pediatric patient with traumatic brain injury or cervical spine injury. With TBI a major cause of pediatric death, you don't want to miss this episode with all you need to know.

Rememer:

Avoid the H bombs

  • Hypotension (<90mmhg)
  • Hypoxia (<90%)
  • Hyperventilation (Goal ETCO2 35-45)

Serious mechanism + LOC:

  • 15L NRB
  • 1L Bolus (20cc/kg for peds)
  • Goal ETCO2 35-45

Brought to you by The National Association of EMS Physicians (NAEMSP) and Missouri Emergency Medical Services for Children (MO-EMSC).

Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney

Website: https://sites.libsyn.com/414020/how-to-approach-pediatric-traumatic-brain-injury-the-evidence-and-the-anatomy

GET CEU CREDIT THROUGH PRODIGY EMS 

Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD

Guest Experts:

Joshua B. Gaither, MD, FACEP

Joshua B. Gaither, MD

Dr. Joshua Gaither is a professor in the Department of Emergency Medicine with fellowship training in Emergency Medical Services (EMS) and Disaster Medicine. He is the EMS Fellowship Director the Medical Director for Tucson Fire Department as well as several EMS training programs. Dr. Gaither also teaches in and is the director for the EMS Degree Program.

Dr. David Gonda

Dr. Gonda is the director of Epilepsy Surgery at Rady Children's Hospital-San Diego and an assistant clinical professor of neurosurgery at UC San Diego School of Medicine.

He comes to Rady Children's from Texas Children's Hospital, where he was a pediatric neurosurgery fellow, and Baylor College of Medicine, where he was a clinical instructor. Dr. Gonda completed his residency training at UC San Diego and earned his medical degree at The Ohio State University.

Dr. Gonda's clinical areas of expertise are epilepsy surgery, MRI laser thermal ablation surgery, pediatric spine abnormalities and craniovertebral junction abnormalities. His research area of expertise is minimally invasive epilepsy surgery.

Sources:

Association of Statewide Implementation of the Prehospital Traumatic Brain Injury Treatment Guidelines With Patient Survival Following Traumatic Brain Injury: The Excellence in Prehospital Injury Care (EPIC) Study., Spaite, Daniel W., Bobrow Bentley J., Keim Samuel M., Barnhart Bruce, Chikani Vatsal, Gaither Joshua B., Sherrill Duane, Denninghoff Kurt R., Mullins Terry, P Adelson David, et al. , JAMA Surg, 2019 07 01, Volume 154, Issue 7, p.e191152, (2019)
 
In reply., Spaite, Daniel W., Bobrow Bentley J., Gaither Joshua B., and Hu Chengcheng , Ann Emerg Med, 2017 Aug, Volume 70, Issue 2, p.263-264, (2017)
 
Association of Out-of-Hospital Hypotension Depth and Duration With Traumatic Brain Injury Mortality., Spaite, Daniel W., Hu Chengcheng, Bobrow Bentley J., Chikani Vatsal, Barnhart Bruce, Gaither Joshua B., Denninghoff Kurt R., P Adelson David, Keim Samuel M., Viscusi Chad, et al. , Ann Emerg Med, 2017 May 27, (2017)
 
 
Mortality and Prehospital Blood Pressure in Patients With Major Traumatic Brain Injury: Implications for the Hypotension Threshold., Spaite, Daniel W., Hu Chengcheng, Bobrow Bentley J., Chikani Vatsal, Sherrill Duane, Barnhart Bruce, Gaither Joshua B., Denninghoff Kurt R., Viscusi Chad, Mullins Terry, et al. , JAMA Surg, 2016 Dec 07, (2016)
 
The Effect of Combined Out-of-Hospital Hypotension and Hypoxia on Mortality in Major Traumatic Brain Injury., Spaite, Daniel W., Hu Chengcheng, Bobrow Bentley J., Chikani Vatsal, Barnhart Bruce, Gaither Joshua B., Denninghoff Kurt R., P Adelson David, Keim Samuel M., Viscusi Chad, et al. , Ann Emerg Med, 2016 Sep 27, (2016)
 
The Effect of Combined Out-of-Hospital Hypotension and Hypoxia on Mortality in Major Traumatic Brain Injury, Spaite, Daniel W., Hu Chengcheng, Bobrow Bentley J., Chikani Vatsal, Barnhart Bruce, Gaither Joshua B., Denninghoff Kurt R., P. Adelson David, Keim Samuel M., Viscusi Chad, et al. , Annals of Emergency Medicine, Jan-09-2016, (2016)
 
Lulla A, Lumba-Brown A, Totten AM, Maher PJ, Badjatia N, Bell R, Donayri CTJ, Fallat ME, Hawryluk GWJ, Goldberg SA, Hennes HMA, Ignell SP, Ghajar J, Krzyzaniak BP, Lerner EB, Nishijima D, Schleien C, Shackelford S, Swartz E, Wright DW, Zhang R, Jagoda A, Bobrow BJ. Prehospital Guidelines for the Management of Traumatic Brain Injury - 3rd Edition. Prehosp Emerg Care. 2023;27(5):507-538. doi: 10.1080/10903127.2023.2187905. Epub 2023 Apr 20. PMID: 37079803.