The Surprising Truth About Pediatric Traumatic Brain Injuries

Every parent's worst nightmare is seeing their child in pain or in danger, and one of the most serious threats to a child's health is a traumatic brain injury (TBI). The effects of TBIs in children can be long-lasting and profoundly impact their development and future. In this post, we will look into the surprising truth about pediatric traumatic brain injuries, exploring the challenges of diagnosing TBIs in children, the differences in symptoms compared to adults, special considerations for treatment, the importance of rehabilitation, long-term effects, and preventative measures. By understanding these unique aspects of pediatric TBIs, we can ensure that children receive the proper care and support they need to overcome this serious injury.

pediatric traumatic brain injury

TBIs in Children

Traumatic brain injury (TBI) represents one of the leading causes of death and disability in children between 1 and 18 years of age Common causes of TBI in children are falls, motor vehicle accidents, and sports and recreation-related accidents. Young children are more prone to falls causing head injuries due to their still-developing ability to walk, coupled with their relatively large heads, shifted center of gravity, and immature neck muscles. Pediatric providers should also be aware of non-accidental trauma (NAT) as a less frequent but potentially severe cause of head trauma in children.

pediatric-concussion-symptoms

Signs and symptoms of pediatric patients who have sustained a TBI and are awake enough to express themselves may include, but are not limited to:

  • Headache 

  • Nausea and vomiting 

  • Irritability

  • Double vision

  • Confusion

As children grow older, the effects of traumatic brain injury (TBI) can lead to difficulties in processing information, reasoning, controlling impulses, managing mood, and experiencing sleep disturbances, depending on the severity of the injury.

Differences in TBI in Children and Adults

Symptoms of traumatic brain injuries (TBIs) can vary significantly between children and adults. While adults may experience typical signs such as headaches, dizziness, and confusion, children may display different symptoms such as irritability, changes in sleep patterns, or difficulty concentrating. These differences in presentation can sometimes result in delays in diagnosis and treatment for pediatric patients. Understanding these distinctions is crucial in providing effective care for children who have suffered a TBI.

The effects of traumatic brain injury (TBI) on children can vary compared to adults due to ongoing brain development in pediatric patients. For instance, sensory systems and the brain's frontal lobes continue to develop beyond late adolescence (S. J. Taylor, Barker, Heavey, & McHale, 2013). This means that some children may not initially present with deficits due to their brain injury, but will experience challenges later in their development. These challenges become more noticeable as school becomes more challenging (Gerrard-Morris et al., 2010; H. G. Taylor et al., 2008). These difficulties can affect educational and work-related outcomes; friendships and relationships; participation in home, school, and community; and overall quality of life (Catroppa & Anderson, 2009; Gamino, Chapman, & Cook, 2009).

Special Considerations and Rehabilitation for Pediatric TBI Patients

When it comes to treating pediatric traumatic brain injuries, there are special considerations that healthcare professionals must keep in mind. Children's brains are still developing, which means that the effects of a TBI can be different from those in adults. Additionally, children may not always be able to communicate their symptoms as clearly as adults, making it essential for healthcare providers to take a comprehensive approach to diagnosis and treatment.

pediatric-traumatic-brain-injury

One important consideration in pediatric TBI treatment is the potential long-term impact on a child's development. Since the brain is still growing and changing, a TBI can have lasting effects on a child's cognitive, emotional, and physical functioning. This underscores the importance of early intervention and ongoing monitoring to address any potential challenges that may arise as the child grows.

Furthermore, children may require different types of rehabilitation services compared to adults. Pediatric TBI patients may benefit from specialized therapies that are tailored to their unique needs and developmental stage. This can include physical therapy, occupational therapy, speech and language therapy, and cognitive rehabilitation to help children regain lost skills and accommodate for lasting impairments.

Understanding these special considerations in pediatric TBI treatment is vital for providing the best possible care for young patients. By recognizing the unique challenges and needs of children who have experienced a TBI, healthcare providers can ensure that these patients receive the support and treatment they need to recover and thrive. This makes pediatric TBI rehabilitation a critical component of the overall care plan for children who have suffered a traumatic brain injury.

Long-term Effects of TBIs on Children

Recognizing the importance of pediatric TBI rehabilitation lays the foundation for understanding the long-term effects of TBIs on children. It is crucial to consider that children who have sustained a traumatic brain injury may experience lasting challenges that can impact their physical, cognitive, emotional, and social well-being as they grow and develop. These long-term effects can vary widely depending on the severity and location of the injury, as well as the individual child's unique characteristics and support system. Understanding these potential outcomes is essential for healthcare providers, caregivers, and educators to provide the necessary support and interventions to help children with TBIs thrive. This knowledge also underscores the significance of implementing preventative measures to reduce the risk of pediatric TBIs and mitigate their long-term impact on children's lives. Falls are the leading cause of traumatic brain injury (TBI) among children under 14 years old. Children under 4 years old are predominantly injured by falls, but they can also sustain injuries from abuse and motor vehicle accidents.

Preventative Measures for Pediatric TBIs

One way to help reduce the risk of pediatric traumatic brain injuries is by promoting proper safety measures in various settings where children are at risk of injury.

This includes:

  • Ensuring that children wear helmets when riding bikes or participating in sports activities,

  • Using appropriate car seats and seat belts in vehicles

  • Implementing safety measures in playgrounds and recreational areas

By taking proactive steps to prevent accidents that can result in TBIs, we can help safeguard the well-being of children and minimize the potential long-term impact of these injuries on their lives.

By being mindful of the risks and implementing preventative measures, we can create a safer environment for children and reduce the occurrence of pediatric TBIs. Through education, awareness, and proactive safety measures, we can strive to protect the most vulnerable members of our society and ensure that they have the opportunity to grow and thrive without the burden of traumatic brain injuries.,

The unique challenges of pediatric traumatic brain injuries require a specialized approach for diagnosis, treatment, and rehabilitation. By understanding the differences in symptoms, prioritizing early intervention, and emphasizing dedicated care, we can help children with TBIs achieve better outcomes and quality of life. Remember, if you suspect a child has suffered a traumatic brain injury, seek medical attention immediately. Let's work together to ensure that every child with a TBI has the opportunity to thrive and reach their full potential. As the saying goes, "It takes a village to raise a child"—let's be that village for children with traumatic brain injuries.

*This blog post is for educational purposes only and is not intended to serve as or replace medical advice*

Tracie Bearden

Tracie is a Denver-based Speech Language Pathologist and Certified Brain Injury Specialist Trainer with over 14 years of experience. She specializes in working with brain injury survivors in acute care and intensive rehabilitation settings. As the owner of TBI MedSLP, a non-profit organization. Tracie is dedicated to providing accessible and affordable brain injury education to speech pathologists, healthcare providers, and the public. Her work aims to enhance patient outcomes and awareness through comprehensive education.

https://www.tbimedslp.com
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