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Insight on Secondary Brain Injuries from Paramedic Treatment that are 4-Times Likely to Occur Prior to Pre-Hospital Treatment and ER Submissions

Marlena Hunter

Inevitably, severe brain injuries occur each year. The most common cause is falls, which have become increasingly common as a source of severe traumatic brain injury. According to a Canadian report, falls account for approximately 40% of both overall trauma and injury-related deaths. According to statistics, there are additional brain injuries that can increase the risk of desaturation associated with intubation. The purpose of this study is to propose new and fast regulations that can be used or implemented by the First Response Team (FRT) in the prehospital setting. The amount of ER patients with head trauma or TBI and the results of aftercare have shown a gap that can be reduced with the percentage of brain damage after initial service from the FRT, even with ventilated patients, by carefully monitoring end-tidal CO2 and preventing hyperventilation. In conclusion, It is important for the FRT to have proper training and the ability to work quickly and efficiently along with conducting proper airway management for preventing hypoxia as a priority in a pre-hospital setting (in response to a patient who has suffered TBI).

There are no prospective controlled trials being conducted to address the efficacy of paramedic FRTs for patients suffering from severe TBI. The significant evidence shown regarding the increased risks of brain injury to patients being treated in pre-hospital settings should be a concern and a cause for further research.