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Prehospital Emergency Care Volume 8, 2004 - Issue 3
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Original Article

AN EVALUATION OF THE USE OF GUIDELINES IN PREHOSPITAL MANAGEMENT OF BRAIN INJURY

Dorraine D. Watts Inova Research Center, Inova Fairfax Hospital, Falls Church, Virginia (DDW); Emergency Department, Inova Fairfax Hospital, Falls Church, Virginia (DH); and Trauma Services, Inova Fairfax Hospital, Falls Church, Virginia (MAW, CG, SMF, ALT).
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Dan Hanfling Inova Research Center, Inova Fairfax Hospital, Falls Church, Virginia (DDW); Emergency Department, Inova Fairfax Hospital, Falls Church, Virginia (DH); and Trauma Services, Inova Fairfax Hospital, Falls Church, Virginia (MAW, CG, SMF, ALT).
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Maureen A. Waller Inova Research Center, Inova Fairfax Hospital, Falls Church, Virginia (DDW); Emergency Department, Inova Fairfax Hospital, Falls Church, Virginia (DH); and Trauma Services, Inova Fairfax Hospital, Falls Church, Virginia (MAW, CG, SMF, ALT).
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Colleen Gilmore Inova Research Center, Inova Fairfax Hospital, Falls Church, Virginia (DDW); Emergency Department, Inova Fairfax Hospital, Falls Church, Virginia (DH); and Trauma Services, Inova Fairfax Hospital, Falls Church, Virginia (MAW, CG, SMF, ALT).
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Samir M. Fakhry Inova Research Center, Inova Fairfax Hospital, Falls Church, Virginia (DDW); Emergency Department, Inova Fairfax Hospital, Falls Church, Virginia (DH); and Trauma Services, Inova Fairfax Hospital, Falls Church, Virginia (MAW, CG, SMF, ALT).
&
Arthur L. Trask Inova Research Center, Inova Fairfax Hospital, Falls Church, Virginia (DDW); Emergency Department, Inova Fairfax Hospital, Falls Church, Virginia (DH); and Trauma Services, Inova Fairfax Hospital, Falls Church, Virginia (MAW, CG, SMF, ALT).
Pages 254-261 | Published online: 28 Aug 2009

References

  • Centers for Disease Control, National Centers for Injury Pre-vention and Control. Traumatic Brain Injury in the United States: 1995–96 Estimates. Available at: http://www.cdc.gov/ncipc/ didop/tbi.htm. Accessed November 2002.
  • Unpublished data from Multiple Cause of Death Public Use Data from the National Center for Health Statistics, 1996. Methods aredescribed in Sosin DM, Sniezek JE, Waxweiler RJ. Trends in death associated with traumatic brain injury, 1979-1992. JAMA. 1995;273:1778–80.
  • U.S. Department of Health and Human Services. Interagency Head Injury Task Force Report. Washington, DC: U.S. De-partment of Health and Human Services, 1989.
  • Centers for Disease Control and Prevention. Traumatic Brain Injury-Colorado, Missouri, Oklahoma, and Utah, 1990-1993. MMVVR Morb Mortal Wkly Rep. 1997;46:8–11.
  • U.S. Department of Health and Human Services. 1992 Position Papers from the Third National Injury Conference, Setting the National Injury Control Agenda in the 90's, April 22–25,1991, Denver, CO. Washington, DC: DHHS.
  • Chesnut RM, Marshall LF, Klauber MR. The role of secondary brain injury in determining outcome from severe head injury. J Trauma. 1993;34:216–22.
  • Marshall LF, Gautille T, Klauber MR, et al. The outcome of severe closed head injury. J Neurosurg. 1991;75:S28–36.
  • Feamside MR, Cook RJ, McDougall P, McNeil RJ. The Westmead Head Injury Project outcome in severe head injury. A comparative analysis of prehospital, clinical and CT variables. Br J Neurosurg. 1993;7:267–79.
  • Pigula FA, Wald SL, Shackford SR, Vane DW. The effect of hypotension and hypoxia on children with severe head injuries. J Pediatr Surg. 1993;28:310–4.
  • Guidelines for the Prehospital Management of Severe Head Injury. New York: Brain Trauma Foundation, 2000. Available at: http:/ / www2.braintrauma.org /guidelines/ downloads/btf_gui delines_prehospital.pdf. Accessed March 2004.
  • Management and Prognosis of Severe Traumatic Brain Injury. New York: Brain Trauma Foundation, 1995. Available at: http:/ / www2.braintrauma.org/guidelines/downloads/btf_guidelines_ management.pdf. Accessed March 2004.
  • Hesdorfer PC, Ghajar J, Iacono L. Predictors of compliance with the evidence-based guidelines for traumatic brain injury care: a survey of United States trauma centers. J Trauma. 2002; 52:1202–9.
  • Baxt WG, Moody P. The impact of advanced prehospital care on the mortality of severely brain-injured patients. J Trauma. 1987; 27:365–9.
  • American Academy of Pediatrics, Aapro M. AAP's Pediatric Education for Prehospital Professionals. New York: Jones & Bartlett, 2000.
  • U.S. Department of Transportation. Emergency Medical Techni-cian Paramedic National Standard Curriculum, 1998. Avail-able at: http:/ /www.nhtsa.dot.gov/people/injury/ems/nsc.htm. Accessed March 2004.

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