PHARM Podcast 88 – Prehospital airway and TBI
Today on the podcast, I discuss prehospital airway management and severe head injury.
Take home messages:
- Hypoxia is not good for severe head injuries
- Even a short period of hypoxia or reduced oxygenation during a prehospital airway intervention maybe enough to worsen outcome
- Consider methods of maintaining oxygenation during any airway intervention for severe head injury e.g NODESAT, sedation only/spontaneous breathing methods of intubation…maybe the blind nasotracheal intubation will make a come back! ..maybe not too!
- Is Prehospital Endotracheal Intubation Associated with Improved Outcomes In Isolated Severe Head Injury? A Matched Cohort Analysis.
- Anaesthesiologist-provided prehospital airway management in patients with traumatic brain injury: an observational study.
- Outcomes following prehospital airway management in severe traumatic brain injury
- Prehospital Rapid Sequence Intubation Improves Functional Outcome for Patients With Severe Traumatic Brain Injury -A Randomized Controlled Trial
- Head Injury Retrieval Trial results – presentation slides by Dr Alan Garner
Podcast ( available here and on iTunes)
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