Neurosurgery
This Severe TBI guideline has been designed for children with severe TBI and a GCS of </= to 8. However, this guideline has applications to the management of a child with any cause of raised ICP and thus can be reviewed in the case of intracranial bleeding, blocked shunt etc. In general, children following this guideline will require timely time-critical transfer to CHI @ Temple street for neurosurgical care. IPATS will only facilitate these transfers if the time window to definitive care allows for the additional time it takes to travel to the regional centre. Local team preparation for transfer is highly recommended