49th Annual Meeting of the AANS/CNS Section on Pediatric Neurological Surgery Archive-Protocolized management of isolated linear skull fractures at a Level 1 pediatric trauma center

Protocolized management of isolated linear skull fractures at a Level 1 pediatric trauma center - Rebecca Anne Reynolds, MD

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Video Transcription

Video Summary

In this video, Becca Reynolds, a neurosurgery resident at Vanderbilt University Medical Center, discusses the protocolization of isolated linear skull fracture management at a level one trauma center. She mentions the wide variability in admission rates for children with isolated linear skull fractures across the country. Reynolds highlights a study published in JNS Pediatrics in 2019, which identified reasons for admission of these children and predictors of bounce back. Based on this information, a evidence-based protocol was created, incorporating fracture location, time of injury, and zofran use as criteria for admission. The study showed a significant decrease in neurosurgical consultation and admission rates, indicating that protocolization is safe and feasible. Further investigation is needed regarding inter-facility transfer and healthcare costs. No mortalities or neurosurgical procedures were performed during this study.

Keywords

neurosurgery resident

linear skull fracture

trauma center

admission rates

evidence-based protocol