Current pre-hospital traumatic brain injury management in China

Kou, Kou, Hou, Xiang-Yu, Sun, Jiandong, & Chu, Kevin (2014) Current pre-hospital traumatic brain injury management in China. World Journal of Emergency Medicine, 5(4), pp. 245-254.

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Traumatic brain injury (TBI) is associated with mo st trauma-related deaths. Secondary brain injury is the leading cause of in-hospital deaths after traumatic brain injury. By early prevention and slowing of the initial pathophysiological mechanism of secondary brain injury, pre- hospital service can signifi cantly reduce case-fata lity rates of TBI. In China, the incidence of TBI is increasing and the proportion of severe TBI is much higher than that in other countries. The objective of this paper is to review the pre-hospital management of TBI in China.


A literature search was conducted in January 2014 using the China National Knowledge Infrastructure (CNKI). Articles on the assessment and treatment of TBI in pre-hospital settings practiced by Chinese doctors were identified. The information on the assessment and treatment of hypoxemia, hypotension, and brain hern iation was extracted from the identifi ed articles.


Of the 471 articles identified, 65 met the selecti on criteria. The existing literature indicated that current practices of pre-hospital TBI management in China were sub-optimal and varied considerably across different regions.


Since pre-hospital care is the weakest part of Chinese emergency care, appropriate training programs on pre-hospital TBI management are urgently needed in China.

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ID Code: 82834
Item Type: Journal Article
Refereed: Yes
Keywords: traumatic brain injury, pre-hospital, China, emergency medicine
DOI: 10.5847/wjem.j.issn.1920-8642.2014.04.001
ISSN: 1920-8642
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Deposited On: 27 Mar 2015 00:23
Last Modified: 29 Mar 2015 23:39

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