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Title: BIG for kids

Category: Trauma

Keywords: Head injury, BIG, pediatric (PubMed Search)

Posted: 6/23/2025 by Robert Flint, MD (Updated: 7/21/2026)

Brain injury guidelines were designed to decrease transfers and neurosurgical consults for adults with head injuries. 

A new retrospective study suggests that modified  guidelines may be feasible in the pediatric population as well. More data is needed but this is an important step in assuring safe resource utilization in pediatric head injury patients.

References

1. https://first10em.com/the-brain-injury-guidelines-can-we-avoid-talking-to-neurosurgeons/

2. Kay AB, Glasgow SL, Kahan AM, Swendiman RA, Kastenberg ZJ, Roach CM, Wan HY, Bollo RJ, Iyer RR, Ravindra VM, Morris DS, Yorkgitis BK, Joseph B, Russell KW. Small Change, BIG Impact: Proposal of the Brain Injury Guidelines for kids (kBIG). J Pediatr Surg. 2025 May 17;60(8):162372.


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