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Chapter 9 - Interhospital Transfer of Brain-Injured Patients

Published online by Cambridge University Press:  28 April 2020

Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
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Summary

Neurosurgical services in the UK are organised regionally into 34 acute neuroscience centres. Brain injury, both traumatic and non-traumatic, is common, and patients often present to local hospitals requiring further treatment in a neuroscience centre. Between April 2014 and June 2015, 15 820 patients suffered a traumatic brain injury in the UK. Of these, 6258 were transferred directly to a neuroscience centre, 5880 were not admitted to a neuroscience centre and 3682 underwent a secondary transfer from the admitting hospital to a neuroscience centre.1 In addition to traumatic brain injury, indications for non-traumatic causes of brain injury requiring acute transfer to a neuroscience centre continue to increase.

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
, pp. 86 - 96
Publisher: Cambridge University Press
Print publication year: 2020

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References

Lawrence, T, et al. Traumatic brain injury in England and Wales: prospective audit of epidemiology, complications and standardised mortality. BMJ Open 2016;6(11):e012197.CrossRefGoogle ScholarPubMed
Duke, G, Green, JV. Outcome of critically ill patients undergoing interhospital transfer. Med J Austr 2001;174(3):122–5.Google Scholar
Oakley, P. The need for standards for interhospital transfer. Anaesthesia 1994;49:565–6.Google Scholar
Intensive Care Society. Guidelines for the transport of the critically ill adult; 2002. https://www.ficm.ac.uk/sites/default/files/transfer_critically_ill_adult_2019.pdfGoogle Scholar
Nathanson, MH, et al. Guidelines for the safe transfer of the brain-injured patient: trauma and stroke 2019. Guidelines from the Association of Anaesthetists and Neuro Anaesthesia and Critical Care Society; 2019.Google Scholar
Farling, P, Smith, M. Transfer of brain injured patients – time for a change? Anaesthesia 2006;61:12.Google Scholar
Patel, HC, Bouamra, O, Woodford, M, et al. Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational study. Lancet 2005;366(9496):1538–44.Google Scholar
Seeley, HM, Hutchinson, P, Maimaris, C, et al. A decade of change in regional head injury care: a retrospective review. Br J Neurosurg 2006;20(1):921.Google Scholar
Elf, K, Nilsson, P, Enblad, P. Outcome after traumatic brain injury improved by an organized secondary insult program and standardized neurointensive care. Critical Care Med 2002;30(9):2129–34.Google Scholar
Clayton, TJ, Nelson, RJ, Manara, AR. Reduction in mortality from severe head injury following introduction of a protocol for intensive care management. Br J Anaesthesia 2004;93(6):761–7.CrossRefGoogle ScholarPubMed
Patel, HC, Menon, DK, Tebbs, S, et al. Specialist neurocritical care and outcome from head injury. Intensive Care Med 2002;28:547–53.CrossRefGoogle ScholarPubMed
Varelas, PN, Conti, MM, Spanaki, MV, et al. The impact of a neurointensivist-led team on a semiclosed neurosciences intensive care unit. Critical Care Med 2004;32(11):2191–8.Google Scholar
Society of British Neurological Surgeons. Care quality statement; October 2015. www.sbns.org.uk/index.php/policies-and-publications/Google Scholar
Keaney, J, Fitzpatrick, MO, Beard, D, et al. A standardised neurosurgical referral letter for the interhospital transfer of head injured patients. J Accident Emerg Med 2000;17(4):257–60.Google Scholar
Eljamel, MS, Nixon, T. The use of a computer-based image link system to assist interhospital referrals. Br J Neurosurg 1992;6(6):559–62.CrossRefGoogle Scholar
Ridley, S, Carter, R. The effects of secondary transport on critically ill patients. Anaesthesia 1989;44:822–7.Google Scholar
Medical vehicles and their equipment – Road ambulances EN 1789; 1999. www.cenorm.beGoogle Scholar
Ligtenberg, JJ, Arnold, LG, Stienstra, Y, et al. Quality of interhospital transport of critically ill patients: a prospective audit. Critical Care 2005;9(4):446–51.Google Scholar
Gentleman, D, Jennett, B. Hazards of interhospital transfer of comatose head-injured patients. Lancet 1981;2(8251):853–4.Google Scholar
Dunn, LT. Secondary insults during the interhospital transfer of head-injured patients: an audit of transfers in the Mersey Region. Injury 1997;28(7):427–31.Google Scholar
Andrews, PJD, Piper, IR, Dearden, NM. Secondary insults during intrahospital transport of head-injured patients. Lancet 1990;335:327–30.Google Scholar
Mendelow, AD, Karmi, MZ, Paul, KS, et al. Extradural haematoma: effect of delayed treatment. Br Med J 1979;1(6173):1240–2.CrossRefGoogle ScholarPubMed
Seelig, JM, Becker, DP, Miller, JD, et al. Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. New Engl J Med 1981;304(25):1511–18.Google Scholar
Hacke, W, et al. Thrombolysis with Alteplase 3–4.5 hours after Acute Ischemic Stroke. New Engl J Med 2008;359(13):1317–29.Google Scholar
Berkhemer, OA, et al. A randomised trial of intraarterial treatment for acute ischemic stroke. New Engl J Med 2015;372(1):1120.CrossRefGoogle ScholarPubMed
Henderson, A, Coyne, T, Wall, D, et al. A survey of interhospital transfer of head-injured patients with inadequately treated life-threatening extracranial injuries. ANZ J Surg 1992;62(10):759–62.Google Scholar
Fitzpatrick, MO, Seex, K. Scalp lacerations demand careful attention before interhospital transfer of head injured patients. J Accident Emerg Med 1996;13(3):207–8.Google Scholar
Ham, W, et al. Pressure ulcers from spinal immobilization in trauma patients: a systematic review. J Trauma Acute Care Surg 2014;76(4):1131–41.Google Scholar
McCullough, Al, et al. Major trauma networks in England. Br J Anaesth 2014;113:286–94.CrossRefGoogle ScholarPubMed
Lind, CR. Transfer of intubated patients with traumatic brain injury to Auckland City Hospital. ANZ J Surg 2005;75(10):858–62.Google Scholar
Pickering, A, et al. Impact of prehospital transfer strategies in major trauma and head injury: systematic review, meta-analysis, and recommendations for study design. J Trauma Acute Care Surg 2015;78(1):164–77.Google Scholar
Association of Air Ambulances. Framework for High Performing Air Ambulance Service; 2013. www.associationofairambulances.co.uk/resources/events/AOAAFramework%19202013-OCT13-%20Final%20Document.pdfGoogle Scholar
Wright, KD, Knowles, CH, Coats, TJ, et al. ‘Efficient’ timely evacuation of intracranial haematoma – the effect of transport direct to a specialist centre. Injury 1996;27(10):719–21.Google Scholar
Pakkanen, T, et al. Pre-hospital severe traumatic brain injury – comparison of outcome in paramedic versus physician staffed emergency medical services. Scand J Trauma Resuscitation Emerg Med 2016;24:62.Google Scholar
Bernard, SA. Paramedic intubation of patients with severe head injury: a review of current Australian practice and recommendations for change. Emerg Med Austr 2006;18(3):221–8.Google Scholar
Davis, DP, Stern, J, Sise, MJ, et al. A follow-up analysis of factors associated with head-injury mortality after paramedic rapid sequence intubation. J Trauma Injury Infection Critical Care 2005;59(2):486–90.Google Scholar
McKeating, EG, Andrews, PJ, Tocher, JI, et al. The intensive care of severe head injury: a survey of non-neurosurgical centres in the United Kingdom. British Journal of Neurosurgery 1998;12(1):714.Google Scholar
Havill, JH, Sleigh, J. Management and outcomes of patients with brain trauma in a tertiary referral trauma hospital without neurosurgeons on site. Anaesthesia Intensive Care 1998;26(6):642–7.CrossRefGoogle Scholar
Allen, G, Farling, P, Mullan, B. Designated consultants for the interhospital transfer of patients with brain injury. J Intensive Care Soc 2006;7(2):1315.CrossRefGoogle Scholar
Brown, C, Monaghan, D. NIHEMS: Head Injury Standard Operating Procedure; 2017.Google Scholar
Spencer, C, Watkinson, P, McCluskey, A. Training and assessment of competency of trainees in the transfer of critically ill patients. Anaesthesia 2004;59:1242–55.CrossRefGoogle ScholarPubMed
Advance Life Support Group Course Dates and venues. https://www.alsg.org/home/mod/url/view.php?id=1127Google Scholar
Mark, J. Transfer of the critically ill patient. Anaesthesia News, July 2004;24.Google Scholar
Carney, N, et al. Guidelines for the management of severe traumatic brain injury, fourth edition. Neurosurgery 2017;80(1):615.Google Scholar

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