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  Pediatric Brain & Spinal Cord Injury Program at the Miller School of Medicine  

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Background: The Ryder Trauma Center (RTC) at the University of Miami/ Jackson Memorial Medical Center is one of the busiest trauma centers in the country. Annually we provide care to over 300 children and adolescents less than 16 years of age with traumatic brain & spinal cord injury (TBSCI). The Pediatric Neurotrauma Program was established in September of 2001. Over the last few years we have tracked all children admitted to the Children's Hospital and UM/JMMC with a TBSCI and have identified the most important problems they encounter in their acute and follow-up care. Due to the complex and diverse nature of care for these children we have been able to develop and implement a model program that streamlines the care of these patients throughout the continuum. By doing this we have come to realize that all children with neurological disorders and acquired brain & spinal cord injury (tumors, encephalitis, stroke, GBS, MS etc.) should also receive this type of program. We have also expanded the age range to all patients under 21 years of age.

Purpose: To provide a systematic, comprehensive and multidisciplinary approach to meet all the needs of traumatic and acquired brain injured children and their families throughout the continuum of resuscitation through rehabilitation.

1. The primary objective is to establish a seamless system which encompasses the entire continuum of care from the scene of the accident to successful accommodation and return to the community and the classroom.

2. To provide an early intervention team approach to reduce secondary complications by providing early medical and rehabilitative intervention.

3. To begin the discharge planning and case management process throughout the continuum of care that begins in the Trauma Center and continued throughout the acute services out to the community and post-acute setting.

4. To provide patient and family education

5. To standardize patient assessment and treatment procedures thereby enhancing the ability to measure treatment effectiveness and improving patient care for clinical research.

CLINICAL: Medical and comprehensive care for Inpatients and Outpatients

RESEARCH: Clinical and Basic: NIH and other funded research

EDUCATION: Resident Teaching and Educational Conference
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