PMID: 7992940Jan 1, 1994Paper

Prehospital air ambulance and systemic secondary cerebral damage in severe craniocerebral injuries

Annales Françaises D'anesthèsie Et De Rèanimation
M CarrelG Boulard

Abstract

Advanced supportive therapy at the site of the accident, associated with direct transfer to a trauma centre increases survival and reduces morbidity rates. Patients with severe head injury, especially those with multiple injuries, often arrive in the emergency department with potentially causes of serious secondary systemic insults to the already injured brain, such as acute anemia (Hematocrit < or = 30%), hypotension (systolic arterial pressure (Pasys) < or = 95 mmHg, 12.7 kPa), hypercapnia (Paco2 > or = 45 mmHg, 6 kPa) and/or hypoxemia (Pao2 < or = 65 mmHg, 8.7 kPa). The incidence of such insults and their impact on mortality were studied in a group of 51 consecutive adults suffering from non penetrating severe head injury (Glasgow score < or = 8, mean age 31 +/- 17 yrs) rescued by a medicalized helicopter. Each patient received medical care on the site of the accident by an anaesthesiologist of a university hospital (UH) complying with an advanced trauma life support protocol including intubation, hyperventilation with FiO2 = 1, restoration of an adequate Pasys and direct transportation to the UH. Mean delay from call to arrival of the rescue team on the site was 15 +/- 5 min. Mean scene time was 32 +/- 10 min in cases not r...Continue Reading

Citations

Aug 20, 2002·Journal of Neurotrauma·Ji-Yao JiangCheng Zhu
Aug 13, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Daniel W SpaiteKurt R Denninghoff
Mar 17, 2007·Bulletin of Experimental Biology and Medicine·V V Rusakov, V T Dolgikh
Sep 13, 2006·The Journal of Trauma·Andrew P CarlsonStephen W Lu
Jan 9, 2013·Disability and Rehabilitation·Be Kim LeongDharmendra Ganesan
Dec 17, 2015·The Cochrane Database of Systematic Reviews·Samuel M GalvagnoStephen Thomas

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