1.Outcome predictors for severely brain-injured patients directly admitted or transferred from emergency departments to a trauma center
Ryne Jenkins ; Nicholas A. Morris ; Bryce Haac ; Richard Van Besien ; Deborah M. Stein ; Neeraj Badjatia ; Amir Medic ; Gaurika Mester ; Quincy K. Tran
World Journal of Emergency Medicine 2020;11(2):120-121
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.
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