CReD 

Can pre-hospital clinicians reliably rule out raised ICP using ONSD measuremnts with POCUS in adult head trauma patients without clinically significant signs and symptoms?

Scoping review of literature to determine if there is any evidence supporting the PICO question directly and indirectly. Research evidence supporting the intervention of POCUS at a timeline within a patient care episode that would predict or rule in/rule out the need for CT head before clinical signs and symptoms of raised ICP due to mild to moderate TBI manifest.

How many patients are attended and conveyed by UK ambulance services each year for 'head injury'.? How many of those patients had clear signs and symptoms of raised ICP.? At what point post head injury wold a CT head or ONSD measurement identify raised ICP ? Is CT head or POCUS of ONSD more sensitive than clinical signs and symptoms of raised ICP.? Is there parity of value in mortality prediction between ONSD measurement by POCUS and CT head at equal time post TBI? Can pre-hospital clinicians be trained to reliably record an ONSD measurement in an undifferentiated patient? What are the total financial burden to the NHS for head injury patients? What percentage of head injury patients show no raised ICP at CT head and go on to develop signs and symptoms of TBI? What iatrogenic harm to patients occurs across the population due to admission and investigation for head injuries each year?

Literature Review

2024-05-01

2024-07-11

2024-05-14

None

United Kingdom

benjamin.mudd@eastamb.nhs.uk

Benjamin Mudd;