Abstract
An uneventful, boring transport is a good transport.
Patients with severe traumatic brain injuries are often primarily treated or triaged at a local hospital without direct access to neurosurgery. Thus, many patients with serious brain injuries have to be transferred between hospitals. Transfer of patients with brain injury is potentially unsafe, and patients may suffer from secondary insults and brain injury due to a poorly performed transport. This can unfavourably affect the outcome and can be avoided if basic principles are applied. The main causes of secondary brain injury are raised intracranial pressure (ICP), hypoxia, hypotension, hypercarbia, hypocarbia, hyperpyrexia and cardiovascular instability. The principles guiding the safe transfer of a head-injured patient are common to all seriously injured persons, but there are some specific considerations that have to be made in the case of head injury. These principles apply equally to transfer of patients both between and within hospitals.
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Some Guidelines
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Olivecrona, M., Olivecrona, Z. (2020). Transportation. In: Sundstrøm, T., Grände, PO., Luoto, T., Rosenlund, C., Undén, J., Wester, K. (eds) Management of Severe Traumatic Brain Injury. Springer, Cham. https://doi.org/10.1007/978-3-030-39383-0_11
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