Accession Number:

ADA621407

Title:

Reducing Secondary Insults in Traumatic Brain Injury

Descriptive Note:

Journal article

Corporate Author:

SCHOOL OF AEROSPACE MEDICINE WRIGHT PATTERSON AFB OH AEROSPACE MEDICINE DEPT

Report Date:

2015-03-01

Pagination or Media Count:

7.0

Abstract:

Objectives To determine the alterations in intracranial pressure ICP during UF Air Force Critical Care Air transport Team transport of critically injured warriors with ICP monitoring by intraventricular catheter IVC. Methods Patients with an IVC following traumatic brain injury requiring aeromedical evacuation from Bagram to Landstuhl Regional Medical Center were studied. A data logger monitored both ICP and arterial blood pressure and was equipped with an integral XYZ accelerometer to monitor movement. Results Eleven patients were studied with full collection of data from takeoff to landing. The number of instances of ICP less than 20 mm Hg ranged from 0 to 238 and duration of instances ranged from 0 to 3,281 seconds. The number of instances of ICP 50 of the baseline ICP ranged from 0 to 921 and duration of instances ranged from 0 to 9,054 seconds. Five of the patients did not experience ICP less than 20 mm Hg throughout their flight, but 10 patients showed instances of IC 50 of baseline ICP. Conclusion Patient movement results in changes in ICP both from external stimuli vibration, noise and from acceleration and deceleration forces. During transport, Critical Care Air transport Team crews should prioritize monitoring and correcting ICP including additional sedation andor venting IVC.

Subject Categories:

  • Medicine and Medical Research
  • Weapons Effects (Biological)

Distribution Statement:

APPROVED FOR PUBLIC RELEASE