PDF

Keywords

pre-hospital care
hypoxia
hypotension
ambulance
intubation
traumatic brain injury

How to Cite

Verma, S. C., Sachan, A. S. ., Singh, S., & Sachan, P. (2020). Pre-hospital care: demography, current profile and future trends: Improving the health of traumatic brain injury patients. Romanian Neurosurgery, 34(4), 518–523. https://doi.org/10.33962/roneuro-2020-088

Abstract

Introduction. Traumatic brain injury (TBI) is a major public health problem throughout the world. It is one of the leading causes of mortality and disability as a consequence results in a great financial burden on societies. Damage to the brain following trauma does not occur only at the moment of injury but also develops over a period of hours to days with the further secondary insult of the brain.

Methods. This was a prospective study done between April 2017 to March 2019. A total of 2134 patients were enrolled for this study with a collection of data in a formatted proforma. All the patients of trauma with clinical or radiological evidence of head injury coming to the trauma centre were included.

Results. In our study patient, mortality was 6.79% in patients receiving pre-hospital care compared to 12.03% in patients not receiving adequate pre-hospital care. 29.42% were in the age group of 21–30 years. RTA (overall 64.45%) was the most common mode of injury in the age group 21–30 years with 81.36% cases. Mortality in first emergency care provider by ambulance paramedics was 5.69% and member of the public was 10.10%. 

Conclusion. It was observed that mortality was higher in patients not receiving adequate pre-hospital care. Early resuscitation facilities at the site of the accident have to be introduced and improved with the execution of rapid transportation to trauma care centres.

https://doi.org/10.33962/roneuro-2020-088
PDF

Downloads

Download data is not yet available.
(Visited 1,943 times, 1 visits today)