<< Severe Traumatic Brain Injury In Adults (Trauma CME)

Prehospital Care

Investigators have consistently reported prehospital and ED admission hypotension to be associated with increased mortality in severe TBI. Older publications defined hypotension as a systolic blood pressure (SBP) of < 90 mm Hg,40 but a recent large retrospective dataset containing over 15,000 patients has called that definition into question by demonstrating that an SBP of < 110 mm Hg on admission to the ED was associated with increased mortality in patients with moderate or severe TBI.41

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