Pre-hospital tracheal intubation in patients with traumatic brain injury: systematic review of current evidence

Abstract

Background. We reviewed the current evidence on the benefit and harm of pre-hospital tracheal intubation and mechanical ventilation after traumatic brain injury (TBI).

The relationship between head injury severity and hemodynamic response to tracheal intubation

“…21,22 However, this is likely to be multifactorial and may be related to the quality of the overall management and patient selection bias. 23 Recent work has demonstrated that outcome can be improved in a wellgoverned prehospital system.…”

Critical care paramedics: where is the evidence? a systematic review

“…This is remarkable also for the fact that very few studies have ever been able to show a clear benefit from prehospital RSI by any provider 39. The results are also in stark contrast to the only other prospective study of paramedic RSI, completed in San Diego 4.…”

Comparison of Outcomes for Children With Cervical Spine Injury Based on Destination Hospital From Scene of Injury

“…Multiple studies question the efficacy and benefit of prehospital intubation in pediatric patients. 29,30 The need for definitive airway support in a significant number of patients who were not intubated in the prehospital setting suggests a possible benefit of EMS transport to local hospitals for this important intervention, although our study did not examine this directly.…”