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

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DOI: 10.4236/ojmn.2019.93021    557 Downloads   1,235 Views  Citations

ABSTRACT

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.

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Moumouni, A. , Kpelao, E. , Fadigba, H. , Doleagbenou, A. , Berete, I. , Tabe, D. , Mensah, E. and Chobli, M. (2019) Pre-Hospital Management of Craniocerebral Trauma in South Saharan Africa: Cotonou Experience. Open Journal of Modern Neurosurgery, 9, 221-226. doi: 10.4236/ojmn.2019.93021.

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