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Chapter 30 - Brain against the Clock

Published online by Cambridge University Press:  17 December 2021

By
Tanmay Toteja  and
Sam Fosker
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

An 8-month-old baby was brought to a district general hospital A&E with reported right-sided abnormal movements thought to be seizures. She had not been feeding well for the previous 2 days and seemed generally lethargic. The arm movements, described as jerking in the whole right arm, had been noticed by the parents for the first time that day. When the movements did not stop after a few minutes, they called an ambulance.

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Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 165 - 170
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Chmayssani, M, Vespa, PM. Prehospital triage and emergency room care in TBI. Emergency Med 2013;4:172. doi:10.4172/2165-7548.1000172.Google Scholar
Dinsmore, J. Traumatic brain injury: an evidence-based review of management. ContEd Anaesth Crit Care & Pain 2013;13(6):189–95Google Scholar
NICE Pathway. Head injury overview. http://pathways.nice.org.uk/pathways/head-injury NICEGoogle Scholar
Nathanson, MH, Andrzejowski, J, Dinsmore, J, et al. Guidelines for safe transfer of the brain-injured patient: trauma and stroke, 2019 Guidelines from the Association of Anaesthetists and the Neuro Anaesthesia and Critical Care Society. Anaesthesia 2020;75:234–46.CrossRefGoogle ScholarPubMed
STRS Guideline: Time Critical Neurosurgical Transfer. www.evelinalondon.nhs.uk/resources/our-services/hospital/south-thames-retrieval-service/neurosurgical-transfer-mar-2018.pdf.Google Scholar
Statement on Provision of Emergency Paediatric Neurosurgical Services; Joint Statement from the Society of British Neurological Surgeons (SBNS) and the Royal College of Anaesthetists (RCoA) Regarding the Provision of Emergency Paediatric Neurosurgical Services.Google Scholar

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