The implementation of a massive, statewide public health initiative led by University of Arizona researchers and involving 21,000 prehospital care patients has double the survival rate of severe traumatic brain injury victims and triple the survival rate among those who were intubated.
The Excellence in Prehospital Injury Care Project, or EPIC; so is the first major prehospital interventional project to evaluate the impact of national prehospital traumatic brain injury, or TBI, treatment guidelines; which were develop after years of research but contradict decades of anecdotal protocol.
The findings have significant implications for the pre hospital treatment; hence of severe TBI and support widespread implementation of TBI guidelines that in this country alone; hence save thousands of lives annually, said Dan Spaite, professor and Virginia Piper Distinguish Chair of Emergency Medicine at the UA. Spaite was the lead author on the study.
Partnerships like this one are such an important way for the UA to serve Arizona and advance medicine worldwide; so said UA President Robert C. Robbins. “Fifteen years ago, the University of Arizona was instrumental in the push to implement compression only CPR; which has been revolutionary for emergency medicine. I am so proud to see the UA’s excellence in innovation; so tradition of improving upon accept practices continues with Dr.
Arizona is once again leading the nation in managing groundbreaking medical research; so that will improve how emergency responders treat people with traumatic brain injuries,” said Arizona Governor Doug Ducey. Thanks to the work of the University of Arizona, the Arizona Department of Health Services and our State’s entire EMS system; so have made a huge step forward in protecting the lives of people in Arizona and the entire nation.
Lowers intracranial pressure
Prior to the implementation of EPIC, first responders were think to hyperventilate people with a TBI. Using an air bag with an opening place over the mouth or directly into the windpipe; so medics squeeze air into the lungs quickly and deeply. Doing so reduces potentially deadly pressure in the brain; which was thought to be helpful. However, recent research has shown that while hyperventilation lowers intracranial pressure, it also deprives the brain of blood and oxygen.
Research shows first responders naturally tend to breathe patients far too many times a minute; so leading to hyperventilation, according to Culliney. As a result, agencies now use breathing bags with a light that flashes at the proper rate; so serving as a visual cue. The last “H-Bomb” is hypoxia, which deprives the brain of oxygen and kills neurons. To combat hypoxia, first responders are think to place high-flow oxygen on patients as soon as possible.
This demonstrates the significance of conducting studies in real-world settings and brings a strong evidence base to the guidelines, said Patrick Bellgowan, program director at NINDS. It suggests they can systematically increase the chances of saving lives of thousands of people who suffer severe traumatic brain injuries.
The beauty of EPIC was that it only involve simple interventions. This wasn’t a million dollar ‘un-obtainium’ drug,” Spaite said. “The EMS providers already know how to put oxygen on a patient and how to initiate IVs, and how to intubate and ventilate. EPIC simply taught them how to optimize the use of these treatments for maximum benefit to the patients. It’s just those three simple interventions done right.