Study objective;
@EN To compare the difference of the systemic insults between prehospital emergency care and nonprehospital emeregncy rare in the death patients after head trauma.
@ES Design;
@EN Retropsective study.
@ES Setting;
@EN The WonKwang university hospital emergency department during 1.1 1993 through 31.6. 1994.
@ES Participants;
@EN 101 death patients was admitted after head trauma.
@ES Methods and interventions;
@EN Charts of all death patients after head trauma was reviewed to determine systemic insults between the prehospital emergency care Prehospital emergency care was defined as patients received emergency care from other hospital. Death patients
before
admission was excluded. Systemic insults were initial laboratory finding at patient's admission.
@ES Measurement:
@EN There were 101 patients admission to neurosurgery after head trauma. All patients were died. The patients were grouped as prehospital emergency care(PHC) and nonprehospital emergency care(NPHC). The most common cause of head trauma was
pedestrian
traffic accident(53.4%), and sex ratio was 5:1. According to clinical features, we found the interval from injury to admission within one hour in 47 cases(46.5%), GCS (3-7) in 79 cases(78.2%), RTS(<5) in 30 cases(29.7%), multiple injury in 48
cases(47.5%) and pathologic reflex in 25cases(24.7%). According to systemic insults, we found hypotension(<90mmHg) in 13 cases(12.9%), acidemia (<7.35) in 55 cases(54.5%), arterial hypoxemia(<60mmHg) in 25 cases(24.5%), hypercarbia(>45mmHg) in 8
cases(7.9%), anemia(<30) in 27 cases(26.8%) and abnormal LFT in 26 cases(25.8%). It was no significant statistical result between prehospital emergency care and nonprehospital emergency care. The comparison between systemic insult(+)group and
system
insult(-) group were no significant statistical results.
@ES Conclusion;
@EN These results imply that the prehospital emergency care system at the scene of accident and during the transportation is more important than the simple transportation system in managing the head injury patient.
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