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. 2014;5(4):245-54.
doi: 10.5847/wjem.j.issn.1920-8642.2014.04.001.

Current pre-hospital traumatic brain injury management in China

Kou Kou  1 , Xiang-Yu Hou  1 , Jian-Dong Sun  1 , Kevin Chu  2
Affiliations

Current pre-hospital traumatic brain injury management in China

Kou Kou et al. World J Emerg Med. 2014.

Abstract

Background: Traumatic brain injury (TBI) is associated with most trauma-related deaths. Secondary brain injury is the leading cause of in-hospital deaths after traumatic brain injury. By early prevention and slowing of the initial pathophysiological mechanism of secondary brain injury, pre-hospital service can significantly reduce case-fatality rates of TBI. In China, the incidence of TBI is increasing and the proportion of severe TBI is much higher than that in other countries. The objective of this paper is to review the pre-hospital management of TBI in China.

Data sources: A literature search was conducted in January 2014 using the China National Knowledge Infrastructure (CNKI). Articles on the assessment and treatment of TBI in pre-hospital settings practiced by Chinese doctors were identified. The information on the assessment and treatment of hypoxemia, hypotension, and brain herniation was extracted from the identified articles.

Results: Of the 471 articles identified, 65 met the selection criteria. The existing literature indicated that current practices of pre-hospital TBI management in China were sub-optimal and varied considerably across different regions.

Conclusion: Since pre-hospital care is the weakest part of Chinese emergency care, appropriate training programs on pre-hospital TBI management are urgently needed in China.

Keywords: China; Emergency medicine; Pre-hospital; Traumatic brain injury.

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Conflict of interest statement

Conflicts of interest: The authors declare that no competing interest and no personal relationships with other people or organizations that could inappropriately influence their work.

Figures

Figure 1
Figure 1
Flow chart of the literature screening process.
Figure 2
Figure 2
Number of publications in different years.
See this image and copyright information in PMC

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