Author/Editor		Klemen, Petra
Title		Vpliv predbolnišnične oskrbe hude poškodbe glave na izhod zdravljenja
Translated title		Effect of prehospital management of severe traumatic brain injury on the outcome of treatment
Type		monografija
Place		Ljubljana
Publisher		Univerza v Ljubljani, Medicinska fakulteta
Publication year		2006
Volume		str. 61
Language		slo
Abstract		Introduction. The role of prehospital trauma care on outcome of severe traumatic brain injury is still controversial. In acute phase of traumatic brain injury it is very important to start adequate treatment as early as possible to prevent hypotension and hypoxia, since these factors may initiate pathophysiological mechanisms leading to secondary brain injury. The aim of the study was to evaluate the impact of prehospital trauma care (with rapid sequence intubation, mechanical ventilation, fluid administration and other methods to decrease intracranial pressure), performed by emergency physicians from Center for Emergency Medicine Maribor, and to answer if prehospital trauma care has an effect 1) on mortality from severe head injury, 2) on neurological outcome, measured as 180 - day Glasgow Outcome Scale (GOS), 3) on the duration of hospitalization in intensive care unit and other departments. Methods. This prospective - retrospective study investigated 64 patients with traumatic brain injury (GCS < 8;) who received prehospital trauma care by emergency physicians from Center for Emergency Medicine Maribor in the period between January 2000 and January 2004. This group was compared with 60 patients who were injuried in the period between January 1998 and January 2004 and did not receive prehospital care (with rapid sequence intubation, mechanical ventilation, fluid administration). Patients from both groups were admitted to the Teaching Hospital Maribor and were treated at the Department of Anaesthesiology on the same principle. Results. There were no significantly statistical differences between both groups in age, mechanism of injury, gender, initial GCS, time from call to arrival to the scene and time till arrival to the hospital. (Abstract truncated at 2000 characters)
Descriptors		EMERGENCY MEDICAL SERVICES HEAD INJURIES BRAIN INJURIES PROGNOSIS HOSPITALIZATION LENGTH OF STAY INTUBATION, INTRATRACHEAL SURVIVAL ANALYSIS GLASGOW COMA SCALE NEUROLOGIC EXAMINATION