ABSTRACTS FOR RODERICK LITTLE PRIZE SESSION
Abstracts for Roderick Little Prize Session, Thursday 17 September 16.45–18.15, Great HallComparing the initial cardiovascular response in injured children with and without traumatic brain injury
The Trauma, Audit & Research Network, Manchester
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Aims
Following evidence that injured children have higher systolic blood pressures (SBP) than resting uninjured children of a similar age, we investigate whether the initial cardiovascular physiology differs between forms of injury.
Methods
Analysis of prospectively recorded data from the Trauma Audit and Research Network (TARN) database of injured children aged 
15 years presenting with blunt trauma from March 1988 to February 2009. We compared the ED arrival SBP and pulse rate (PR) in children with and without traumatic brain injury (TBI). The analysis was stratified by age and injury severity (ISS 8 = mild, ISS 9–14 = moderate, ISS 
15 = severe) through medians, graphs and compared by analysis of covariance.
Results
Data for 18 135 children were analysed. Those with TBI had a higher mortality rate (17.2%) and were more severely injured. No difference was seen between the two
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