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Table 2 Description of documented assessment and interventions in all patients n = 651 with a severe traumatic brain injury

From: Has increased nursing competence in the ambulance services impacted on pre-hospital assessment and interventions in severe traumatic brain-injured patients?

 

Year 2000-2005

Year 2006-2009

 

395 n (%)

256 n (%)

Assessments

  

Airway (clear airway)

247 (63)

132 (51)

Breathing (Saturation)

254 (57)

171 (67)

Circulation (BP)

264 (67)

161 (63)

Neurology (GCS)

385 (97)

246 (96)

Documentation of secondary insults (Sat < 90, BP <90)

80 (21)

46 (18)

Interventions

  

Intubation on scene

71 (18)

49 (19)

I.V. fluid

124 (31)

73 (29)

Sedation

239 (61)

158 (61)

Direct transportation to level 1 trauma centre

201 (51)

141 (55)

Outcome

  

Length of ICU stay (mean)

11.16 days

8.82 days

In hospital mortality

120 (30)

75 (29)

GOS at 3 months

  

Favourable (GOS 4–5)

56 (14)

15 (6)

Unfavourable (GOS 1–3)

339 (86)

241 (94)