Elsevier

Injury

Volume 28, Issue 7, September 1997, Pages 427-431
Injury

Paper
Secondary insults during the interhospital transfer of head-injured patients: an audit of transfers in the Mersey Region

https://doi.org/10.1016/S0020-1383(97)00051-XGet rights and content

Abstract

To asses the incidence of secondary insults and unidentified extracranial injuries a prospective audit of 50 head-injury transfers to a regional neurosurgical unit using a standardized assessment proforma was undertaken. There was wide variability in the quality of transfers. Six per cent of the group were hypoxic on arrival and 15 per cent were hypotensive. In the patients with multiple injuries, 29 per cent had inadequately diagnosed or managed injuries when they arrived. A comparison of this cohort of patients with previous studies is presented. As a result of the audit a set of transfer and referral guidelines have been drawn up and, following distribution of the guidelines to our referring hospitals, a further cohort of patients will be audited.

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