Integrated prehospital and in-hospital rescue and transport management for acute traumatic brain injury
ZHOU Jia
SHAO Su-hua
LI Lu-han
PENG Na
SU Xiao-juan
Abstract：Acute traumatic brain injury(TBI)is the primary cause of traumatic death and neurological dysfunction.After the initial trauma,secondary injuries such as hypotension,hypoxia,and intracranial hypertension will further exacerbate brain injury.The focus of pre-hospital emergency treatment and care for TBI lies in preventing secondary brain injury through stabilizing the condition at the scene and promptly transporting to a suitable hospital.Timely and effective pre-hospital emergency treatment measures and early nursing interventions,such as correcting hypotension and hypoxia,and preventing cerebral edema,can significantly reduce the risk of secondary injury.Pre-hospital emergency treatment,as the primary link in the treatment of TBI,is of self-evident importance;while the rapid response in the hospital,multidisciplinary collaboration,emergency rescue and safe transportation are specific manifestations of efficient treatment.Achieving seamless connection between pre-hospital and in-hospital treatment and the integrated rescue process of the trauma center can significantly shorten the treatment time and thereby increase the success rate of rescue.This paper conducts a comprehensive review of the integrated rescue and transport process management model for pre-hospital and in-hospital TBI,with the aim of providing a useful reference for clinical practice.
Keywords：Acute traumatic brain injuryPre-hospital emergency rescueIntegrated rescueTransportation managementSafe transportation
Publication Date：2024-06-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 372-376 )