Evaluating the Use of Thromboelastography to Diagnose Coagulopathy After Traumatic Brain Injury

Evaluating the Use of Thromboelastography to Diagnose and Monitor Coagulopathy Associated With Pediatric Traumatic Brain Injury

The investigators will obtain thromboelastography (TEG) on pediatric patients admitted to the Rady Children's Hospital ICU after traumatic brain injury on admission to our ICU and after 24 hours of care. The investigators hypothesize that TEG will identify abnormalities of coagulation that are not identified by traditional coagulation studies, i.e. prothrombin time (PT), activated partial thromboplastin time (aPTT), and international normalized ratio (INR).

Inclusion Criteria:

• less than 15 years of age
• evidence of intracranial bleed on CT scan or GCS <12

Exclusion Criteria:

• No intracranial hemorrhage or
• GCS 13 - 15