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Pediatr Clin North Am. 2013 Oct;60(5):1107-22. doi: 10.1016/j.pcl.2013.06.001. Epub 2013 Aug 19.

Updates in the general approach to pediatric head trauma and concussion.

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  • 1Division of Emergency Medicine, Department of Pediatrics and Emergency Medicine, Children's National Medical Center, 111 Michigan Avenue Northwest, Washington, DC 20010-1970, USA. Electronic address:


Acute recognition and management of traumatic brain injury along the spectrum from mild to severe is essential in optimizing neurocognitive outcomes. Concussion is common following head trauma in children, and resulting symptoms can last for months if not diagnosed and managed properly. Emerging evidence and consensus demonstrate that a program of cognitive and physical activity with a graduated return to play, sport, and school may improve outcomes following concussion. "Return to Play" legislation for youth has been adopted by most states. Outcomes of patients with severe traumatic brain injury have improved.


Computed tomography; Concussion; Intracranial hemorrhage; Prediction rules; Traumatic brain injury

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