Study on the Effect of Optimizing Pre-hospital Emergency Mode in the Treatment of Craniocerebral Trauma Caused by Traffic Accidents

XUE Meixia; TONG Liping

doi:10.13919/j.issn.2095-6274.ZHJY202507019

Abstract：Objective To explore the application value of an optimized pre-hospital emergency mode on the emergency treatment outcomes and prognosis of patients with craniocerebral trauma caused by traffic acci-dents.Methods A retrospective study was conducted on 140 patients with craniocerebral trauma caused by traffic accidents admitted to our hospital from January 2023 to January 2025.According to the different pre-hospital emer-gency modes,they were divided into two groups.The control group(n=70)received conventional pre-hospital emer-gency care,while the observation group(n=70)received an optimized pre-hospital emergency mode based on the con-trol group's protocol.The optimized mode included establishing a professional trauma emergency team,developing a standardized emergency process(covering five stages:rapid assessment,emergency treatment,stabilization and trans-port,seamless handover,and psychological care),and strengthening psychological care.The emergency time indica-tors,Glasgow Coma Scale(GCS)scores,total number of complication episodes,mortality rate,and Glasgow Outcome Scale(GOS)scores at 3 months post-injury were compared between the two groups.Results Compared with the control group,the on-scene processing time,transport time,and total emergency time in the observation group were significantly shortened(P<0.001).Regarding neurological function,the GCS scores during transport and upon arrival at the hospital in the observation group were significantly higher than those in the control group(both P<0.001).The total number of complication episodes in the observation group was significantly lower than that in the control group(29 episodes vs.78 episodes,P<0.001),with significant reductions in the incidence of brain herniation,pulmonary infec-tion,electrolyte imbalance,and hypoxemia(P<0.05).The total 30-day mortality rate in the observation group was significantly lower than that in the control group(2.86%vs.12.86%,P=0.030).Long-term prognosis as-sessment showed that the GOS score at 3 months post-injury in the observation group was significantly better than that in the control group(P<0.001).Conclusions For patients with craniocerebral trauma caused by traffic accidents,the optimized pre-hospital emergency mode can effectively improve emergency efficiency,stabilize neurological func-tion,significantly reduce the incidence of complications and mortality,and ultimately improve long-term neurological functional prognosis,demonstrating significant clinical value.