Pre-Hospital Management of Craniocerebral Trauma in South Saharan Africa: Cotonou Experience

• 作者: Abd El Kader Moumouni Agbeko Achille Doleagbenou Dabou Abiba Tamou Tabe Emile Mensah Essossinam Kpelao Holden Olatoundji Fadigba Ibrahima Berete Martin Chobli
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: Emergency CRANIOCEREBRAL AFRICA South-Sahara Pre HOSPITAL MANAGEMENT
• 年，卷（期）: 2019,（3）
• 页码范围: 221-226
• 页数: 6页
• 分类号: R73

摘要

The management of craniocerebral trauma begins at the site of the accident. This is one of the diseases for which pre-hospital care is well codified. The objective of this study is to report the experience of the Emergency Aid Medical Service (EMAS) of BENIN in the pre-hospital management of craniocerebral trauma. 146 head injuries were cared for. 116 were male. The mean age was 32 years with extremes ranging from 2 to 77 years. Etiology in 68% of patients was a public road accident. And the request for the use of the EMAS was made by highway users for 41% of the injuries. About 5.5% were severe cranio-brain injuries, more than 75% of which had died in intensive care. In 77% of the EMAS interventions, there was an intensive care physician in the team. 34 wounded had been transported in a vacuum mattress. The rigid cervical collar was used in 8 major traumas. All the wounded were transported by ambulance. The duration of hospitalization varied from a few hours in the emergency department to 90 days in the hospital ward. 9 patients died. One of them, who died in an ambulance, was a woman. The prehospital medical care of head trauma in BENIN is still progressing.