An audit was conducted of all serious head injured patients received at Atkinson Morley's Hospital over 1 year.
One hundred and fifty-four were received, of whom 65 (42.2 per cent) had multiple injuries ; 137 (89 per cent) patients were intubated and the overall incidence of hypoxia was 9.7 per cent.
The incidence of hypercarbia was 25.9 per cent and was unrelated to the mode of ventilation.
Hypotension was present in 11 patients (7.1 per cent) and hypovolaemia in 16 (10.5 per cent).
During transfer 39 (28.9 per cent) intubated patients received no sedation, although 29 (21.5 per cent) were given neuromuscular blocking agents alone.
The incidence of actual cervical injury was 3.2 per cent and in all five patients the neck was adequately stabilized pre-transfer.
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Complication, Association morbide, Epidémiologie, Audit, Evaluation, Traitement, Secours première urgence, Royaume Uni, Europe, Homme, Système ostéoarticulaire pathologie, Encéphale pathologie, Système nerveux pathologie, Système nerveux central pathologie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Complication, Concomitant disease, Epidemiology, Audit, Evaluation, Treatment, First emergency care, United Kingdom, Europe, Human, Diseases of the osteoarticular system, Cerebral disorder, Nervous system diseases, Central nervous system disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0623015
Code Inist : 002B16B. Création : 09/06/1995.