Abstract
Emergency care of a head-injured patient is based on the principles of rapid diagnosis and treatment of the primary injury and early and aggressive management in order to prevent secondary insults to the injured brain. Frost [4] and Frost et al. [5] showed that even patients who seem to ventilate adequately are often hypoxic with PaO2 values of 65 mmHg or even less. Experiences from the Traumatic Coma Data Bank (TCDB) [2] and from previous studies [3, 7] have shown that hypoxemia as well as hypotension and hypercapnia significantly worsen the prognosis of a patient with a severe head injury. In San Diego County, Klauber et al. [6] have shown that improved pre-hospital care improves the outcome of patients with severe head injuries.
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© 1993 Springer-Verlag Berlin Heidelberg
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Wahjoepramono, E.J., Piek, J., Bock, W.J. (1993). Pre-hospital Airway Care and Control of Ventilation in Patients with Head Injuries: A Retrospective Analysis in 1623 Head Trauma Victims. In: Lorenz, R., Klinger, M., Brock, M. (eds) Intracerebral Hemorrhage Hydrocephalus malresorptivus Peripheral Nerves. Advances in Neurosurgery, vol 21. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77997-8_32
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DOI: https://doi.org/10.1007/978-3-642-77997-8_32
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