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A prospective observational study from Holland examined prehospital tracheal intubation in children who were attended by a helicopter transported medical team. 155 of 300 children were treated with out of hospital tracheal intubation. 95 of these intubated children had an initial Glasgow Coma Scale score of 3 or 4 (out of 15). 54 children were intubated by physicians and 41 by emergency medical service paramedics. Based upon an analysis of the rate of complications (including oesophageal intubation and difficulty ventilating) and survival, the authors do not recommend tracheal intubation be performed on children by emergency medical service paramedics (Resuscitation 2008;79:225–9).


The Athens Head Trauma Registry collected data on 1000 patients aged more than 14 years over a four-year period. It provides an important preliminary look at brain trauma aetiology, management, and long-term outcome in the Greek population. The Athens Registry reveals similar patterns of aetiology and epidemiology to other series, particularly in relation to the age and sex of those injured and the burden of alcohol-related trauma. However, it differed …

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