Early management of severe head injury in Northern Ireland

Direct transport versus interhospital transfer of patients with severe head injury in Norway

“…This raises the question whether severely injured patients far away from the hospital die or are deemed unsalvageable before transport is initiated at all. A study from Northern Ireland [19] supports this assumption as 23% of the patients with severe head injury died at local hospitals. In our study referrals also might have been denied owing to poor prognosis after consulting with a neurosurgical physician, since telemedicine for reviewing of CT scans was well established.…”

Outcome and prognostic factors of traumatic brain injury: a prospective evaluation in a Jakarta University hospital

“…10 A descriptive study of 131 patients with severe head injury in Northern Ireland (ISS P 16 with a minimum AIS head score of 3) reported a 38% overall mortality and a 32% mortality for isolated brain injury patients. 11 Literature about TBI in developing countries is limited. Wu et al described 489 consecutive patients with traumatic intracranial haematoma who underwent surgery in a Taiwanese regional hospital, and found an overall mortality rate of 12%.…”

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

“…[4][5][6][7][8][9][10]12,13,130,154,157,158,[160][161][162][163][164][165][166][167][168][169][170][171] Severe cognitive impairment patients typically undergo emergency tracheal intubation to treat or prevent respiratory system insufficiency. 27,30,44,69 There is also substantial documentation that blunt or penetrating thoracic injury can cause respiratory distress and hypoxemia.…”