Insight on Secondary Brain Injuries from Paramedic Treatment that are 4-Times Likely to Occur Prior to Pre-Hospital Treatment and ER Submissions

M. Hunter
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Abstract

Inevitably, severe brain injuries occur each year. The most common cause is falls, which have become increasingly common as a source of severe traumatic brain injury. According to a Canadian report, falls account for approximately 40% of both overall trauma and injury-related deaths. According to statistics, there are additional brain injuries that can increase the risk of desaturation associated with intubation. The purpose of this study is to propose new and fast regulations that can be used or implemented by the First Response Team (FRT) in the prehospital setting. The amount of ER patients with head trauma or TBI and the results of aftercare have shown a gap that can be reduced with the percentage of brain damage after initial service from the FRT, even with ventilated patients, by carefully monitoring end-tidal CO2 and preventing hyperventilation. In conclusion, It is important for the FRT to have proper training and the ability to work quickly and efficiently along with conducting proper airway management for preventing hypoxia as a priority in a pre-hospital setting (in response to a patient who has suffered TBI). There are no prospective controlled trials being conducted to address the efficacy of paramedic FRTs for patients suffering from severe TBI. The significant evidence shown regarding the increased risks of brain injury to patients being treated in pre-hospital settings should be a concern and a cause for further research.
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在院前治疗和急诊室提交之前,护理人员治疗继发性脑损伤的可能性是4倍
每年都不可避免地发生严重的脑损伤。最常见的原因是跌倒,这已经成为越来越普遍的严重创伤性脑损伤的来源。根据加拿大的一份报告,跌倒约占总体创伤和伤害相关死亡的40%。根据统计,还有额外的脑损伤,可以增加与插管相关的去饱和风险。本研究的目的是提出新的和快速的规定,可以使用或实施的第一反应小组(FRT)在院前设置。头部创伤或TBI的急诊患者数量与后续护理结果显示,通过仔细监测潮末二氧化碳和防止过度通气,可以减少FRT初始服务后脑损伤百分比的差距,即使是通气患者。总之,对于FRT来说,重要的是要有适当的培训和快速有效工作的能力,同时在院前环境中进行适当的气道管理,以防止缺氧,这是优先考虑的(以应对遭受TBI的患者)。目前还没有前瞻性对照试验,以解决护理人员的frt对严重TBI患者的疗效。关于在院前环境中接受治疗的患者脑损伤风险增加的重要证据应引起关注并引起进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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