Comparison of Protocols Used in Managing Traumatic Brain Injury in Prehospital Settings

Abstract

Abstract Background: Traumatic brain injury (TBI) poses a challenge due to its significant mortality rate and elevated length of hospital stay. The focus is on preventing the occurrence of secondary brain insult, which if not addressed appropriately, may elevate the risk of death and prolonged hospital stay. In the current practice, standardized approaches are useful, although mortality rates are unacceptably high. The absence of a standardized protocol to treatment leads to high rates of preventable deaths and length of stay, which are the focus of this assessment. Aim: To compare the use of evidence-based management in TBI management in prehospital settings with standard practice protocols. Methods: This research employed a systematic review. As a result, with a focus on reducing mortality rates and increased length of stay, the paper employs a systematic literature review in assessing the use of best-practice approaches in the protocols used in managing TBI, compared to standard interventions. Results: According to this research, the use of evidence-based TBI management compared to standard protocol does not reveal significant differences. Best practice is specific to the knowledge and skills of advance care personnel (ACP) such as physicians, paramedics and helicopter emergency medical service teams, as well as TBI severity. As a result, management of airways, breathing, circulation, disability, and exposure (ABCDE) apply as the best available protocol in management of the condition. As a result, the findings indicated timing, ACP experience, and patient-specific aspects as critical in determining patient outcomes, such as length of stay and possibility of death. In evidence-based practice, the focus was not a given protocol but on the ability of ACP on the ground to assess the patient and take appropriate action. Conclusion: The use of evidenced-based methods in control of TBI in prehospital settings leads to insignificant improvements in outcomes compared to standard approaches. The ABCDE model provides the best current evidence and approach in preventing secondary brain insult. However, emphasis is on on-site assessment of the condition, which informs ACP to take the most appropriate action.