Article Text

PDF
Prehospital rapid-sequence intubation of patients with trauma with a Glasgow Coma Score of 13 or 14 and the subsequent incidence of intracranial pathology
  1. Daniel Y Ellis,
  2. Gareth E Davies,
  3. John Pearn,
  4. David Lockey
  1. Department of Pre-hospital Care, The Royal London Hospital, London, UK
  1. Correspondence to:
 Dr D Y Ellis
 The Cottage, Upper Street, Dyrham, South Gloucestershire SN14 8HN, UK; danellis{at}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.

Statistics from Altmetric.com

Footnotes

  • Competing interests: None.

  • These data were presented at the British Association for Emergency Medicine Conference, Prize Session, Liverpool, UK, March 2004.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.