High-speed motor vehicle accident

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A 10-year-old girl is brought to the emergency department after a high-speed motor vehicle accident where she was a restrained back seat passenger. Neurological examination off sedation shows: she has no eye opening, withdraws from painful stimulation in the bilateral arms and is intubated. Head CT shows bifrontal and bitemporal hemorrhagic contusions and diffuse cerebral edema. Is intracranial pressure monitoring indicated in this child? Yes, ICP monitoring is recommended and a treatment threshold of greater than or equal to 20mmHg is recommended. Yes, ICP monitoring is recommended and a treatment threshold of greater than or equal to 22mmHg is recommended. Yes, ICP monitoring is recommended and a treatment threshold of greater than or equal to 25mmHg is recommended. No, ICP monitoring is not recommended in children less than 14 years No ICP monitor is not recommended in children less than 18 years.

Reference no: EM133802793

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