Document Detail

Influence of prehospital treatment on the outcome of patients with severe blunt traumatic brain injury: a single-centre study.
MedLine Citation:
PMID:  19491690     Owner:  NLM     Status:  MEDLINE    
RESULTS: The groups were comparable for age, Glasgow Coma Scale, ISS total, and aISS(head). The preadmission time of the HEMS group was significantly longer as compared with the GROUND group, but the interval from admission to definitive care was significantly shorter. In the prehospital phase, HEMS patients were more aggressively treated, as indicated by a significantly greater number of procedures performed (i.e. tracheal intubation and positioning of intravenous lines) and larger volumes of fluids infused. The overall mortality was lower in the HEMS than in the GROUND patients (21 vs. 25% respectively, P<0.05). The survival with or without only minor neurological disabilities was higher in the HEMS than in the GROUND group (54 vs. 44% respectively, P<0.05); among the survivors, the rate of severe neurological disabilities was lower in the HEMS than in the GROUND group (25 vs. 31%, P<0.05).
CONCLUSION: In our experience, aggressive early treatment of patients with severe traumatic brain injury was associated with a better outcome likely because of the prevention of secondary brain injury and a shorter interval elapsing from the trauma to definitive care despite more time spent on the scene by the intervening team.
Giorgio Berlot; Cristina La Fata; Barbara Bacer; Bruno Biancardi; Marino Viviani; Umberto Lucangelo; Piero Gobbato; Lucio Torelli; Elio Carchietti; Giulio Trillò; Massarutti Daniele; Adriano Rinaldi
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  16     ISSN:  1473-5695     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-11     Completed Date:  2011-01-06     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  312-7     Citation Subset:  IM    
Department of Anaesthesia and Intensive Care, University of Trieste, Trieste, Italy.
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MeSH Terms
Aged, 80 and over
Air Ambulances
Brain Injuries*
Child, Preschool
Emergency Medical Services*
Glasgow Coma Scale
Injury Severity Score
Intensive Care Units*
Length of Stay
Middle Aged
Retrospective Studies
Time Factors
Treatment Outcome*
Wounds, Nonpenetrating*
Young Adult

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