Indian Journal of Anaesthesia  
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REVIEW ARTICLE
Year : 2008  |  Volume : 52  |  Issue : 3  |  Page : 258-263

Prehospital Care of Traumatic Brain Injury


Prof and Senior Adviser, Neuroanesthesiologist & Intensivist, Dept of Anesthesiology, Army Hospital (R&R), New Delhi, India

Correspondence Address:
TVSP Murthy
Neuroanaesthesiology, Army Hospital (R&R) Delhi Cantt- 110010
India
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Source of Support: None, Conflict of Interest: None


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Traumatic brain injury (TBI) occurs when a sudden trauma causes brain damage. Depending on the severity, outcome can be anything from complete recovery to permanent disability or death. Emergency medical services play a dominant role in provision of primary care at the site of injury. Since little can be done to reverse the initial brain damage due to trauma, attempts to prevent further brain damage and stabilize the patient before he can be brought to a specialized trauma care centre play a pivotal role in the final outcome. Recognition and early treatment of hypoten­sion, hypoxemia, and hypoglycemia, objective neurological assessment based on GCS and pupils, and safe transport to an optimal care centre are the key elements of prehospital care of a TBI patient.


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