Skip to Content

Brief EMS Training Saves Lives After Brain Injury

THURSDAY, May 9, 2019 -- All it takes is two hours of training to save a life after a severe head injury, researchers say.

A new study reports that training first responders in emergency treatment guidelines for severe head injuries does improve chances of survival.

The guidelines for pre-hospital care of traumatic brain injury (TBI) patients by EMS workers focus on preventing low oxygen, low blood pressure and hyperventilation.

Previous studies suggested that the guidelines could improve survival, but there was no research assessing actual use of the guidelines.

"It was exciting to see such dramatic outcomes resulting from a simple two-hour training session with EMS personnel," study co-principal investigator Dr. Bentley Bobrow said in a news release from the U.S. National Institute of Neurological Disorders and Stroke (NINDS), which funded the study. Bobrow is a professor of emergency medicine at the University of Arizona.

In this study, he and his colleagues trained emergency medical service (EMS) agencies across Arizona in the brain injury guidelines. They then compared patient outcomes before and after implementation of the guidelines.

The 21,000 patients in the study suffered moderate, severe and critical head injuries.

Use of the guidelines did not affect overall survival rates, but did help double the survival rate of people with severe TBI. And their use tripled the survival rate in severe TBI patients who had to have a breathing tube inserted by EMS personnel.

The guidelines were also associated with an overall increase in survival to hospital admission, according to the study findings.

"We found a therapeutic sweet spot and showed that the guidelines had an enormous impact on people with severe TBI," said study leader Dr. Daniel Spaite, a professor of emergency medicine at the University of Arizona.

"The guidelines did not make a difference in the moderate TBI group because those individuals would most likely have survived anyway and, unfortunately, the extent of injuries sustained in many critical patients was too extreme to overcome," Spaite added.

The study was published online May 8 in the journal JAMA Surgery.

© 2020 HealthDay. All rights reserved.

Posted: May 2019

Read this next

ATV Vehicles a Danger on Paved Roads, and at Night

WEDNESDAY, Oct. 7, 2020 -- Off-road vehicles are meant for exactly that -- riding on rough terrain including mud, sand and uneven ground. A new study found that combining two...

Playing Football at Young Age Doesn't Slow Concussion Recovery in College

WEDNESDAY, Sept. 9, 2020 -- Playing tackle football at an early age doesn't determine how quickly college players recover from a concussion, a new study finds. "Because football...

Rugby Injuries Last Long After Pros, Amateurs Stop Playing: Study

SATURDAY, Aug. 15, 2020 -- Injuries can continue to plague rugby players long after they retire, a new study finds. Researchers examined injuries suffered by 254 retired elite...