AIM: To identify the incidence of intracranial pathology in a population of patients with trauma with an on-scene Glasgow Coma Score (GCS) of 13 or 14, and the proportion that required prehospital intubation and ventilation. METHOD: A retrospective review of a prehospital trauma database was carried out over a 12-month period, and 81 patients were reviewed. All had a traumatic mechanism of injury and had an on-scene GCS of 13 or 14 recorded by a prehospital doctor. 43 patients required prehospital rapid-sequence intubation. Overall, 31.5% of patients with a GCS of 13 or 14 had an abnormal computed tomography scan of the head and 20.5% had an intracranial haemorrhage. RESULTS: For this group of patients with trauma with a drop of only one or two points on the GCS, the incidence of intracranial pathology was almost one in three and that of intracranial haemorrhage was one in five.
AIM: To identify the incidence of intracranial pathology in a population of patients with trauma with an on-scene Glasgow Coma Score (GCS) of 13 or 14, and the proportion that required prehospital intubation and ventilation. METHOD: A retrospective review of a prehospital trauma database was carried out over a 12-month period, and 81 patients were reviewed. All had a traumatic mechanism of injury and had an on-scene GCS of 13 or 14 recorded by a prehospital doctor. 43 patients required prehospital rapid-sequence intubation. Overall, 31.5% of patients with a GCS of 13 or 14 had an abnormal computed tomography scan of the head and 20.5% had an intracranial haemorrhage. RESULTS: For this group of patients with trauma with a drop of only one or two points on the GCS, the incidence of intracranial pathology was almost one in three and that of intracranial haemorrhage was one in five.
Authors: C Michael Dunham; Robert D Barraco; David E Clark; Brian J Daley; Frank E Davis; Michael A Gibbs; Thomas Knuth; Peter B Letarte; Fred A Luchette; Laurel Omert; Leonard J Weireter; Charles E Wiles Journal: J Trauma Date: 2003-07
Authors: Daniel P Davis; James V Dunford; Jennifer C Poste; Mel Ochs; Troy Holbrook; Dale Fortlage; Michael J Size; Frank Kennedy; David B Hoyt Journal: J Trauma Date: 2004-07
Authors: Geir Arne Sunde; Mårten Sandberg; Richard Lyon; Knut Fredriksen; Brian Burns; Karl Ove Hufthammer; Jo Røislien; Akos Soti; Helena Jäntti; David Lockey; Jon-Kenneth Heltne; Stephen J M Sollid Journal: BMC Emerg Med Date: 2017-07-11
Authors: D J Lockey; K Crewdson; G Davies; B Jenkins; J Klein; C Laird; P F Mahoney; J Nolan; A Pountney; S Shinde; S Tighe; M Q Russell; J Price; C Wright Journal: Anaesthesia Date: 2017-01-03 Impact factor: 6.955