Traumatic Brain Injury (TBI) Clinical Pathway — Emergency Department and ICU


To standardize the approach to treating patients with severe traumatic brain injury (TBI) admitted to the Pediatric Intensive Care Unit (PICU).



  • Duration and frequency of elevated ICP
  • Duration and frequency of low brain tissue oxygen level
  • Length of time until patient has invasive ICP monitor in place
  • Length of time from medically refractory treatment of elevated ICP to decompressive craniectomy in OR
  • Duration of mechanical ventilator days
  • Duration of central venous line days
  • PICU length of stay
  • Mortality