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Essay / Exploring traumatic brain injuries in children - 1368
Traumatic brain injuries (TBI) are one of the major public health concerns today. The Center for Disease and Control (2010) reported that 1.7 million people experience a traumatic brain injury each year). Additionally, head injuries account for one-third (30.5%) of all injury-related deaths in the United States. Children (0 to 4 years), older adolescents (15 to 19 years), and older adults (65 years and older) are most likely to experience a head injury (CDC, 2010). This analysis will examine the prevalence, diagnosis, treatments and prognosis of head injuries in children. Brain injuries can be categorized as mild, moderate, and severe. The most commonly used assessment to classify the severity of a TBI is using the Glasgow Coma Scale (GCS). This scale assesses an individual's level of consciousness based on verbal, motor, and ocular responses to stimuli. Researchers Kung et al (2010) analyzed the components of the Glasgow Coma Scale (GCS) from 27,625 TBI cases in Taiwan. The correlation between survival rate and certain combinations of ocular (E), motor (M), and verbal (V) scores for the GCS (scores of 6, 11, 12, and 13) were found to be statistically significant. Results indicate that the three core items comprising the Glasgow Coma Scale (E, M, and V) separately and in some combinations are predictive of survival in patients with TBI. The researchers say this observation is clinically useful when a full GCS score cannot be obtained when evaluating TBI patients. Confirmatory neuroimaging analyzes play a central role in diagnosis, prognosis, and treatment decisions for TBI. CT scanning is the preferred method of assessment at admission to determine structural damage and detect intracranial (developing) hematomas (Maas, Stocchetti, Bullock, 2008)....... middle of article.. ...., Injury, Volume 42, number 9, September 2011, pages 940-944, ISSN 0020-1383, 10.1016/j.injury.2010.09.019. (http://www.sciencedirect.com/science/article/pii/S0020138310006741) Tawfeeq, Mohammed M Halawani, Khulood Al-Faridi, Wa'el AAL-Shaya, Wa'el S Taha, Traumatic brain injury: techniques for neuroprotective anesthesia, an update, Injuries, Volume 40, Supplement 4, November 2009, Pages S75-S81, ISSN 0020 -1383, 10.1016/j.injury.2009.10.040.(http://www.sciencedirect.com/ science/article/pii/S0020138309005609)Yeates, Armstrong, Janusz, Taylor, Wade, Stancin, Drotar, Long-Term Attention Problems in Children With Head Injuries, Journal of the American Academy of Child & Adolescent Psychiatry, Volume 44, Issue 6, June 2005, Pages 574-584, ISSN 0890-8567, 10.1097/01.chi.0000159947.50523.64.(http http://www.sciencedirect.com/science/article/pii/S0890856709616336)