What we should do for children with traumatic brain injury

  Watching the child in the mother’s arms quietly eating milk, from time to time let out the sound of mmmmm, my heart is full of happiness and sweetness, this may be the most beautiful moment in the world, all the chaos has nothing to do with him, only the quiet sucking. When I became a father, I had more emotions for my children, and I learned to face them in a delicate manner, whether at home or at work.  Every day at work there are always a few children to see traumatic brain injury, whether it is the first visit to our hospital, or referred from the Children’s Hospital and the Institute of Pediatrics, the number of children with traumatic brain injury is generally higher, a group of people Weng up to hate to eat the doctor, always hope that the doctor in an instant to help their children alleviate the disease, the doctor is not a sage is also to eat ordinary food to grow up, just more medical professional just.  Severe traumatic brain injury should be treated promptly The golden 30 minutes for severe traumatic brain injury is especially important in pediatric patients. Children’s cerebrovascular development is incomplete, intracranial hematoma compression time is too long, cerebrovascular easy spasm, will lead to serious cerebral infarction occurrence, this is a key issue we should pay special attention to children’s traumatic brain injury. Some years ago, a couple of chefs working in Beijing, their child fell off the bed accidentally at night, and there was not much intracranial bleeding, but due to the delay in consultation, the child’s brain lobe infarction limb paralysis, and the couple had lifelong regret. Therefore, for children with traumatic brain injury, if abnormalities such as drowsiness, vomiting, and frequent crying are found, the child must be treated promptly.  The key to the treatment of mild traumatic brain injury – how to avoid psychological stress in children In fact, in clinical work, most of the traumatic brain injuries we see in children are still mild, the child’s head is slightly touched while playing, two children playing at school, improper sports in gym class, etc., and sometimes the scalp bleeds a little. Parents are very nervous to come to the doctor. One of the things I try to do every day is how to help parents and persuade them not to insist on a cranial CT test for mild traumatic brain injury patients, sometimes with little success or with verbal abuse from parents who are very unhappy with what the doctors are doing and think we are not responsible for the child. There will be a returned specialist, very old to be on the child, two children at school pushing and shoving, his child’s head touched, four parents with their children to see the doctor, must do CT, CT did not find abnormalities he is still unsure, to line the head MRI examination. In fact, there are not a few parents like this. When his child was injured, he always felt that he could not let the other parent off the hook, and he could not bear it without this bad breath. Another child was knocked on the head by another child at school and was injured for 5 days, with daily headache and nausea, unable to go to school. When he came to the clinic, he was accompanied by the standard, one child and two pairs of parents. The mother was very agitated, I let the mother back, hold the child in his arms, said to him “child, you do not have anything, uncle to give you some good medicine, tomorrow you can go to school, after we are friends ……”, and then gave the child a box of vitamins I also let the child back, called his parents to follow them, education, instructed them to be sure to restrain their emotions, more encouragement to the child, to pass on positive energy, so as to ensure the health of the child. In the treatment of light traumatic brain injury, we should pay attention to the prevention of psychological stress of the child, now are only children when parents, they are themselves grown up in the greenhouse flowers, psychologically very fragile, raising children have no experience at all, children feel the sky is falling after head trauma, always through all the tests to diagnose the child, and even do not hesitate to let the child eat the CT radiation, these tests are sometimes unnecessary. There is also a situation where there is a dispute, where 2 children are injured in a fight, and the parents of the injured child always feel that they can’t let the other family off the hook, and can’t let them spend some money on it. The parents inadvertently pass their bad feelings to the child, and the child cannot get out of the shadow psychology after the psychological stress, and always feels sick, which is very difficult for the doctor to treat in this case. The psychological treatment of children after mild traumatic brain injury should not be underestimated.  Prevention of Traumatic Brain Injury in Children The most critical aspect of traumatic brain injury is prevention, and it is crucial to prevent injury in children, especially in preschoolers. In the past, there have been cases of young parents playing with their cell phones and their children falling off buildings. Of course, this is an extreme example, but how to take good care of children is a social problem. There are also such things as nannies to watch the children, fall and dare not say, delaying treatment. Working couples, no time to look at the child, in the yard release, resulting in brain injury occurred, etc.. Since children are born, they must be taken care of, no matter how poor or rich they are. The emergence of social workers may help parents with special backgrounds to take care of their children. Social problems cannot be solved by doctors, and it is everyone’s responsibility to call for social prevention.  In conclusion, children with traumatic brain injury should be treated correctly. Once abnormalities are found after the injury, they should actively seek medical attention and let the doctor determine the injury, and CT should be done, but not excessively. Parents should also treat their children correctly after the injury, the young mind needs to be cared for, not to pass on excessive emotions to the child.