Outcome predictors for severely brain-injured patients directly admitted or transferred from emergency departments to a trauma center
10.5847/wjem.j.1920-8642.2020.02.010
- Author:
Ryne Jenkins
1
;
Nicholas A. Morris
2
;
Bryce Haac
1
;
Richard Van Besien
3
;
Deborah M. Stein
1
;
Neeraj Badjatia
1
;
Amir Medic
4
;
Gaurika Mester
4
;
Quincy K. Tran
1
Author Information
1. Program in Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA
2. Section of Neurocritical Care and Emergency Neurology, Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA
3. University of Maryland School of Medicine, Baltimore, MD, USA
4. University of Maryland at College Park, College Park, MD, USA
- Publication Type:Letter
- Keywords:
brain-injured;
emergency departments;
traumatic brain injury
- From:
World Journal of Emergency Medicine
2020;11(2):120-121
- CountryChina
- Language:English
-
Abstract:
Dear editor, After sustaining severe traumatic brain injury (TBI), patients frequently require invasive mechanical ventilation (MV). However, up to 26% of patients require tracheostomy due to failure to wean from the ventilator.[1] The decision of when to perform tracheostomy is important as it balances the risk between avoiding prolonged MV and avoiding risk of tracheostomy. Early predictors for tracheostomy, i.e., clinical factors when patients first present to an Emergency Department after trauma or when patient first arrive at a regional trauma center, can help clinicians’ medical decision-making process.
