[Pre-hospital conduct for patients with a severe craniocerebral trauma according to new guidelines].
About 10% of patients with head injury (most common cause of death and persistent disability with patients in young age) are found to develop a severe craniocerebral trauma. The underlying cause of secondary brain damage in such cases is the cerebral ischaemia or hypoxia, which can be effectively prevented by introducing procedures of conduct at the accident site and during the transportation of the patient. Introducing new diagnostic techniques and the right treatment reduces the death rate among diseased with severe craniocerebral trauma by about 20-30%. The article elaborates on a pathophysiological mechanism of head trauma, conduct at the accident site and during the transportation according to BTLS, oxygen therapy, fluid therapy and pharmacological treatment with head injury, direction of the transportation of such patients from the place of accident according to new guidelines.
Demyda
Iwanna
I
Oddział Intensywnej Terapii i Anestezjologii z Ośrodkiem Ostrych Zatruć, Szpital Wojewódzki Nr 2 w Rzeszowie. iwanka3@vp.pl
Maciejewski
Ryszard
R
D006259:Craniocerebral Trauma / Q000150:complications / Q000628:therapy*; D003422:Critical Care / Q000592:standards*; D004638:Emergency Treatment / Q000592:standards*; D005440:Fluid Therapy / Q000592:standards; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000150:complications / Q000517:prevention & control; D010100:Oxygen / Q000627:therapeutic use; D017410:Practice Guidelines as Topic; D014187:Transportation of Patients / Q000592:standards
D010100:Oxygen
Postepowanie przedszpitalne u pacjentów z ciezkimi urazami czaszkowo-mózgowymi według nowych wytycznych.