Traumatic brain injury in childhood. Management in the emergency room

Background. Traumatic brain injury (TBI) is one of the most common injuries in childhood, but the assessment of mild TBI regarding further management varies significantly. Thus, a managment algorithm is required. Evaluation. Cranial computed tomography (cCT) is the method of choice for radiological examination. Without clear guidelines, many of these children may be exposed to excess radiation owing to unnecessary imaging. Conclusion. Implementation of a simple management guideline for the care of children with mild TBI can have a significant impact on cost and length of stay, while simultaneously reducing radiation exposure. Widespread implementation of such guidelines will improve efficiency without sacrificing quality of care in the management of mild TBI in the pediatric population.