Table 2

Prehospital times, transport mode and physician-only interventions, by treatment allocation

FactorOriginal head injury definition (GCS<9)Modified severe head injury definition (GCS 3–12 and AIS≥3)
Standard carePhysician carep Value*Standard carePhysician carep Value*
Time intervals (min)
 Time from beginning of emergency call to first arrival at patient9 (7–13)10 (8–13)0.159 (7–14)10 (7–13)0.57
 Time spent at the scene16 (11–27)22 (15–33)<0.0117 (11–29)23 (15–32)0.02
 Transport time from scene to hospital13 (10–21)13 (9–18)0.4715 (10–21)13 (9–17)0.09
 Total prehospital time44 (33–56)48 (38–62)0.0243 (33–59)49 (38–61)0.14
Patient transport mode
 Helicopter transport21 (12%)36 (19%)0.0823 (15%)34 (19%)0.34
Physician-only interventions
 Neuromuscular-blockade-assisted intubation18 (10%)96 (49%)<0.00122 (14%)105 (58%)<0.001
 Tube/open thoracostomy5 (3%)1 (1%)0.07†5 (3%)00.01†
 Crystalloid >1000 mL12 (7%)24 (12%)0.0712 (8%)30 (16%)0.01
 Any Packed Red Blood Cells6 (3%)12 (6%)0.228 (5%)12 (7%)0.57
 Any 7.5% saline or 20% mannitol5 (3%)29 (15%)<0.001†5 (3%)31 (17%)<0.001†
Rates of correction or prevention of hypoxia and hypotension
 Hypoxia at first contact30 (24%)37 (22%)0.7327 (23%)30 (19%)0.42
 Hypoxia at hospital arrival14 (14%)5 (4%)<0.001†15 (10%)8 (5%)0.05
 Hypotension at first contact58 (34%)63 (32%)0.8038 (25%)42 (24%)0.76
 Hypotension at hospital arrival13 (7%)13 (7%)0.7917 (11%)20 (11%)0.98
  • Statistics are given as n (%) or median (IQR). Hypotension, systolic BP <90 mm Hg; Hypoxia, SpO2 <92%.

  • *The Wilcoxon rank-sum test was used for continuous data and χ2 tests were used for categorical variables.

  • †Conditional binomial test.

  • AIS, Abbreviated Injury Scale.