An overview of the Pediatric Trauma Center at Harborview Medical Center as presented by Mary King, MD, MPH, and a presentation of studies of pediatric severe traumatic brain injury, sTBI clinical indicators, the case of a 15-year-old male skateboarder vs a semi-truck, a 16-year-old male s/p high speed MVC roll over, 2-year-old male s/p GSW to L face/head, rehab outcomes, pediatric sever TBI and short-term outcomes.