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Prehospital Care for Patients with Head Injury and its Relevance to Post Traumatic Prognosis

Published online by Cambridge University Press:  28 June 2012

G. Singbartl
G. Singbartl
Affiliation:
Department of Anesthesiology and Intensive Care Medicine, Knappschafts-Krankenhaus University Hospital, Ruhr University of Bochum, Federal Republic of Germany.
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Extract

Head injury has been demonstrated to be one of the most important lesions in polytrauma patients and of very decisive relevance to the posttraumatic prognosis. Moreover, other lesions and their sequelae (e.g. shock, thorax trauma) are known to worsen the primary cerebral injury by causing secondary brain damage due to hypotension and hypoxemia. This study considers the influence of prehospital emergency care to the posttraumatic prognosis in severe head injuries.

Type
Clinical Topics
Information
Prehospital and Disaster Medicine , Volume 3 , Issue 2: Contributions from the Fouth World Congress on Emergency and Disaster Medicine, Brighton, England May, 1985 , 1987 , pp. 15 - 20
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1987

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References

1.Abbushi, W., Herkt, G., Speckner, E., Birk, M.Beeinflussung des intraniellen Druckes durch unterschiedliche Beatmungsmuster bei Patienten mit Schaedel-Hirn-Trauma. Intensivbehandlung 6 (1981) 107.Google Scholar
2.Abbushi, W.Zur Peep-Beatmung und Oberkorperhochlagerung bei Patienten mit Schadel-Hirn-Trauma. Intensivbehandlung 6 (1981) 137.Google Scholar
3.Ahnefeld, F.W., Bergmann, H., Burri, C., Dick, W., Halmagyi, M., Rugheimer, E. Klinische Anasthesiologie und Intensivtherapie. Notfallmedizin Bd. 10, Springer Verlag (1976).CrossRefGoogle Scholar
4.Allgower, M., Burri, C.Der Schockindex. Dt. med. Wschr. 92 (1967) 1947.CrossRefGoogle Scholar
5.Baker, S.P., O'Neill, B., Haddon, W., Long, W.B.The injuring severity score: a method for describing patients with multiple injuries and evaluating emergency care. J. Trauma 14, 187 (1974).CrossRefGoogle Scholar
6.Barbaro, N.M., Pitts, L.H., Bartkowski, H.M., Smith, E.R.Shock and multisystem trauma in severe head injury. Crit. Care Med (1982) 254.Google Scholar
7.Becker, D.P., Vries, J.K., Young, H.F., Ward, J.D. Controlled cerebral perfusion pressure and ventilation in human mechanical brain injury: Prevention of progressive brain swelling. In: Lundberg, N., Poten, U., Brock, M. (eds) intracraniell pressure II. Springer Verlag, Berlin, Heidelberg, New York (1975).Google Scholar
8.Becker, D.P., Miller, J.D., Sweet, R.C., Young, H.F., Sullivan, H., Griffith, R.L. Head injury management. In: Neural Trauma, Ed. Popp, A.J., Bourke, R.S., Nelson, L.R., Kimelberg, H.K.Raven Press. New York (1979).Google Scholar
9.Brihaye, J., Frowein, R.A., Lindgren, S., Loewe, F., Stroobrandt, G.Report of the meeting of the WFNS Neuro-Traumatology Committee, Brussels, 19–23 September 1976. Acta Neurochir. 40 (1978) 181–186.CrossRefGoogle Scholar
10.Cold, G.E., Jensen, F.T., Malmros, R.: The effect of PaCO2 reduction on regional cerebral blood flow in the acute phase of brain injury. Acta. Anaesth. Scand. 21 (1977) 359.Google Scholar
11.Cunitz, G., Danhauser, J., Gruss, P.Beeinflussung des intracraniellen Druckes bei neurochirurgischen Operationen durch Hyperventilation, positive-negative Druckbeatmung und PEEP. Anaesthesist 28 (1979) 142.Google ScholarPubMed
12.Genarelli, Th. A. Current status of brain resuscitation. In: Resuscitation. Ed: Jacobson, S.H.Churchill-Livingstone (1983).Google Scholar
13.Gerritsen, S.M., Leonhout, T.V., Grimbrere, J.S.F.Mortality in multiple traumatised patients. Crit. Care Med. 9 (1981) 205.CrossRefGoogle Scholar
14.Hume, A., Cooper, R. The effect of head position and jugular vein compression on intracranial pressure. A clinical study. In: Intracranial pressure III. p. 259. Ed. Beks, JW.F., Bosch, D.A., Brock, M.Springer Berlin 1976.Google Scholar
15.Lundberg, N., Kjallquist, A., Bien, Ch.Reduction of increased intracranial pressure by hyperventilation. Acta Psychiatr. Neurol. Scand. (Suppl.) 139 (1959) 1.Google Scholar
16.MacKenzie, C.F., Shin, B., Soderstrom, G., Cowley, R.A.Would field deployment of physicians reduce death within 24 hours of road traffic accident? Anaesthesiology 61 (1984) A 93.CrossRefGoogle Scholar
17.McDowall, D.G.Early management of severe head injury. Intensive Care Med. 9 (1983) 171.Google Scholar
18.Miller, J.D., Sweet, R.C., Narayan, R., Becker, D.P.Early insults to the injured brain. JAMA 240 (1978) 439–442.CrossRefGoogle Scholar
19.Newfield, Ph., Pitts, L., Kaktis, J., Hoff, J.The influence of shock on mortality after head trauma. Critical Care Med. 8 (1980) 254.CrossRefGoogle Scholar
20.Pfenninger, E., Kilian, J.Die Oberkorperhochlagerung beim akuten Schadel-Hirn-Trauma. Anaesthesist 33 (1984) 115–120.Google Scholar
21.Rinkjob, R.: Care at the road side. Prevention of second accident. In: Head Injury Symposium Edinburgh-Madrid. Churchill-Livingstone, London (1970).Google Scholar
22.Sefrin, P., Albert, M., Schulz, E.Konsequenzen fur die Primarversorgung von Notfallpatienten aus einer prospektiven Studie an 106 todlichen Verlaufen. Anaesthesist 29 (1980) 667–672.Google Scholar
23.Singbartl, G. The multi system trauma: Relevance of injury combinations in the prognosis of polytraumatised patients. Journal of World Association of Emergency and Disaster Medicine: In press (this issue).Google Scholar
24.Smith, J.P., Bodai, B.J., Hill, A.S., Frey, G.F.Prehospital stabilization of injured patients: J. Trauma 25 (1985) 65–68.Google Scholar
25.Teasdale, G., Jennett, R.Assessment of coma and impaired consciousness. A practical scale. Lancet II (1974) 81.CrossRefGoogle Scholar
26.Teasdale, G., Galbraith, W. Head trauma and intracranial haemorrhage. In: Brain failure and resuscitation. Ed: Grenvik, A. and Safar, P.Churchill-Livingstone, 1981.Google Scholar