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The Complex Management of a Traumatic Brain Injury and Aortic Injury After a Motor Vehicle Crash: A Case Report

Mayo, Erin RN, MSN, CPNP-AC; Hackworth, Jodi MPH, CSTR; Billmire, Deborah MD, FACS

doi: 10.1097/JTN.0000000000000024
Case Study

Blunt aortic injuries are extremely rare in the pediatric population. This case report examines a pediatric patient involved in a motor vehicle crash that resulted in aortic dissection combined with traumatic brain injury. The clinical management of this patient was particularly challenging because of the conflicting needs of optimal management for the head and aortic injuries. Despite the patient's low predicted probability of survival based on Injury Severity Score, the patient had an exceptional outcome.

Department of Trauma Services, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana (Ms. Mayo and Hackworth and Dr Billmire); and Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, Indiana (Dr Billmire).

Correspondence: Erin Mayo, RN, MSN, CPNP-AC, Department of Trauma Services, Riley Hospital for Children at Indiana University Health, 705 Riley Hospital Dr, Ste 1960, Indianapolis, IN 46202 (emayo@iuhealth.org).

The authors declare no conflicts of interest.

Copyright © 2014 by the Society of Trauma Nurses.