TY - JOUR T1 - BET 3 JF - Emergency Medicine Journal JO - Emerg Med J SP - 558 LP - 560 DO - 10.1136/emj.2010.097337 VL - 27 IS - 7 A2 - , Y1 - 2010/07/01 UR - http://emj.bmj.com/content/27/7/558.abstract N2 - Report by: Gabriel Cade, Emergency Medicine PhysicianSearch checked by: Venkatesh Gattu, Specialty Emergency Medicine TraineeInstitution: Baystate Medical Center, Springfield, Massachusetts, USA and Manchester Royal Infirmary, Manchester, UKThree-part questionIn [paediatric patients presenting within 8 h of traumatic brain injury (TBI)] are [therapeutic hypothermia regimens better than normothermic care] in [improving patient survival]?Clinical scenarioAn 8-year-old child presents to the Emergency Department within 6 h of an unclear incident at home that left non-specific bruising and acute change in mental status. Fundoscopic exam reveals retinal haemorrhages, and a CT scan done later in the investigation demonstrates a small subdural haematoma. While you consult an ophthalmologist to verify your findings and concentrate on maintaining supportive care, you remember that brain injuries in adults, both hypoxic and traumatic, … ER -