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Emerg Med J. 2007 Feb;24(2):139-41.

Prehospital rapid-sequence intubation of patients with trauma with a Glasgow Coma Score of 13 or 14 and the subsequent incidence of intracranial pathology.

Author information

1
Department of Pre-hospital Care, The Royal London Hospital, London, UK. danellis@doctors.org.uk

Abstract

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.

PMID:
17251629
PMCID:
PMC2658196
DOI:
10.1136/emj.2006.040428
[Indexed for MEDLINE]
Free PMC Article

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