Abstract
The present pediatric traumatic brain injury guidelines outline several important topics of treatment and provide a detaileb, evidence-based system for management of children with severe TBI, although there are limitations due to the lack of strong evidence or proven efficacy for obtaining better functional outcome of the patient. Especially, securing the airway and maintaining proper breathing are paramount in the first step of the pediatric TBI management in order to prevent any extension of secondary brain injury. Breakthrough discoveries in the treatment of pediatric TBI can be expected, along with the development of therapeutic interventions by focusing on the patient's high cognitive function and diagnostic imaging studies in the future.