A systematic review of the timing of intubation in patients with traumatic brain injury: pre-hospital versus in-hospital intubation

Traumatic brain injury: the research continues with higher data quality evolving!

“…An electronic survey conducted by Lagares and the BRAINI investigators among 200 physicians from 131 hospitals in four southern European countries confirmed large variations in guideline adherence, in particular when it came to CT imaging after clinical mild TBI [ 4 ]. Another topic of ongoing discussion remains the question of whether to intubate in the field or not in TBI which is highlighted by two other contributions to this focus issue [ 5 , 6 ]. Radhakrishnan and colleagues present the results from a recent review but conclusions again remain vague [ 5 ].…”

“…Another topic of ongoing discussion remains the question of whether to intubate in the field or not in TBI which is highlighted by two other contributions to this focus issue [ 5 , 6 ]. Radhakrishnan and colleagues present the results from a recent review but conclusions again remain vague [ 5 ]. While the impaired level of consciousness, usually defined by GCS, is still considered as a key indicator for pre-hospital intubation and supported by most guidelines, Samuel and colleagues showed that a significant proportion of patients intubated in the field actually does not suffer from a significant injury to the brain [ 6 ].…”