• J-P M Rouxel, K Tazarourte, S Le Moigno, C Ract, and B Vigué.
• Département d'anesthésie-réanimation, CHU de Bicêtre, 94275 Le Kremlin-Bicêtre, France.
• Ann Fr Anesth Reanim. 2004 Feb 1; 23 (1): 6-14.

ObjectiveTo evaluate the effectiveness of prehospital medical care in head-injured patients.Patients And MethodsAll head-injured patients admitted in Bicêtre hospital from 1995 to 1999 were retrospectively studied. Glasgow Coma Scale (GCS) score, mean arterial pressure (MAP) and SpO(2) measured on the field were compared to GCS, MAP and SpO(2) on arrival in the hospital. All treatments given during transport and first data recorded in the hospital were noted. Each parameter was compared to outcome at 6 months. Then, significant parameters were compared with a multivariate analysis.ResultsThree hundred and four patients were included, 80% had a GCS ConclusionRespect of guidelines is important to improve medical care. Prehospital management corrected hypoxemia but not hypotension. The lack of osmotherapy after mydriasis cannot be explained and is probably an error. Patient route must be simplified to decrease time delay from field to hospital. Improvement in prehospital care may decrease mortality in head-injured patients.

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