Prehospital Interventions in Children with a Severe Traumatic Brain Injury
- *Corresponding Author:
- Ann-Charlotte Falk
Karolinska University hospital
Karolinska Institutet, CIVA 171 77
Tel: +46 8 524 83 641
Fax: +46 8 517 75 810
E-mail: [email protected]
Received Date: July 11, 2012; Accepted Date: August 25, 2012; Published Date: August 27, 2012
Citation: Falk AC, Lindström V (2012) Prehospital Interventions in Children with a Severe Traumatic Brain Injury. Emergency Med 2:129. doi:10.4172/2165-7548.1000129
Copyright: © 2012 Falk AC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Trauma is the leading cause of morbidity and mortality in children and adolescents and approximately one third of the injuries are due to a traumatic brain injury (TBI). The impact of prehospital care on the outcome of patients with a TBI has been investigated and it shows a positive impact on better neurological outcome however there are limited research concerning the pediatric patient. Therefore the aim of this study was to describe prehospital care in children with a severe traumatic brain injury.
Methods: Retrospective review of prehospital medical records.
Results: Most children, 94 percent were brought to the emergency department by ground ambulance due to a severe brain injury. Prehospital interventions were found in one third of the children. Children<7 years received less intervention as compared to older children. The most common prehospital intervention was controlled airway/ endotracheal intubation.
Conclusion: Despite a severe brain injury only one third of the children received a prehospital intervention (controlled airway, pain treatment and IV fluid treatment) during the prehospital care. The initial severity of injury showed no impact on the frequencies of interventions.