Acute medical management of traumatic brain injury (TBI) can be challenging outside of the resuscitation bay, specifically while obtaining a computed tomography (CT) scan of the brain. We sought out to determine the management practices of Canadian traumatologists for pediatric patients with severe TBI requiring CT in the emergency department (ED). In 2019, surveys were sent to trauma directors in hospitals across Canada to ascertain their clinical practices. Team members present in the CT scan included physicians (89%), registered nurses (100%), and respiratory therapists (38%). The average time to and from the CT scanner was one hour. Over half of respondents (56%) had experienced an adverse event in CT with variable access (11–56%) to necessary resuscitation equipment and medications. Significant hypotension (44%) was the most common adverse event experienced. With the exception of an end tidal CO₂ monitoring (56%), heart rate, rhythm, respiratory rate, saturation, and blood pressure were always monitored during a CT scan. Head of bed elevation had an approximately equal distribution of flat (44%) versus elevated (56%). The practice variability of Canadian traumatologists may reflect a lack of evidence to guide patient management. Future research and knowledge translation efforts are needed to optimize patient care during neuroimaging.

创伤性脑损伤 (TBI) 的急性医疗管理在复苏舱之外可能具有挑战性，特别是在获得大脑计算机断层扫描 (CT) 扫描时。我们试图确定加拿大创伤科医生对急诊科 (ED) 需要 CT 的重度 TBI 儿科患者的管理实践。2019 年，向加拿大各地医院的创伤主管发送了调查，以确定他们的临床实践。CT 扫描中的团队成员包括医生 (89%)、注册护士 (100%) 和呼吸治疗师 (38%)。往返 CT 扫描仪的平均时间为一小时。超过一半的受访者 (56%) 曾在 CT 中经历过不良事件，但对必要的复苏设备和药物的使用不一 (11-56%)。显着低血压（44%）是最常见的不良事件。除了潮汐末二氧化碳₂监测 (56%)、心率、节律、呼吸频率、饱和度和血压始终在 CT 扫描期间进行监测。床头抬高在平坦（44%）与抬高（56%）之间的分布大致相等。加拿大创伤科医生的实践差异可能反映出缺乏指导患者管理的证据。需要未来的研究和知识转化工作来优化神经影像学期间的患者护理。