[Collaboration Between Initial the Definitive Management in Traumatic Brain Injury].

Area of Science:

• Emergency Medicine
• Neurosurgery
• Trauma Surgery

Background:

• Preventable trauma death (PTD) significantly impacts traumatic brain injury (TBI) outcomes.
• Despite standardized guidelines, 20% of TBI patients experience PTD, highlighting critical care gaps.
• The
• talk and deterioration
• phenomenon in TBI is associated with a high rate of PTD.

Purpose of the Study:

• To identify key factors contributing to preventable trauma death in traumatic brain injury patients.
• To emphasize the critical importance of initial management within the "first hour" of TBI care.
• To highlight the role of anticoagulants and the need for timely interventions in reducing PTD.

Main Methods:

• Retrospective analysis of traumatic brain injury cases.
• Identification and categorization of preventable trauma deaths.
• Analysis of patient demographics, medication use (anticoagulants/antiplatelets), and clinical course.

Main Results:

• PTD accounted for 26.2% of "talk and deterioration" TBI cases.
• Anticoagulant/antiplatelet users represented 26.8% of all PTD cases.
• Timely interventions, including neutralizers and tranexamic acid, are critical.

Conclusions:

• Reducing PTD in TBI requires specific attention to patients on anticoagulants.
• Standardized, rapid initial management, including airway, oxygen, circulation, and targeted pharmacotherapy, is essential.
• Focusing on the "first hour" of TBI care is paramount for improving patient survival and preventing avoidable deaths.