Pediatric Trauma - Management of the Pediatric Trauma Patient

Herniation Syndrome


Signs of herniation syndrome:
  • Dilated and unreactive pupils - unilateral or bilateral
  • Decorticate or decebrate posturing
  • Cushing’s Triad– hypertension, bradycardia, and irregular respirations
Management includes:
  • Mild hyperventilation - Goal ETCO2: 30 - 35 mmHg
  • If available, give mannitol. Note this may take 15-30 minutes to work
  • Treat seizures
Transport the patient to an appropriate health-care facility as soon as possible