成人重型创伤性脑损伤患者院前急救护理的最佳证据总结OA

Objective To summarize the best evidence for pre-hospital emergency care in adult patients with severe traumatic brain injury(sTBI)and to provide a basis for pre-hospital emergency practice.Methods Fol-lowing the 5S evidence resource pyramid model,researchers systematically retrieved evidence regarding pre-hospital emergency care for adult patients with sTBI from domestic and international clinical decision sys-tems,guideline networks,professional brain injury association websites,and databases.The retrieval period spanned from database inception to September 3,2025.Two researchers independently screened the literature,e-valuated quality,extracted evidence,and integrated and graded.Results Ultimately,13 publications were included,comprising 1 clinical decision-making study,1 evidence summary,4 guidelines,5 expert consensuses,and 2 systematic reviews.A total of 113 pieces of evidence on prehospital emergency care for sTBI patients were ex-tracted.These were summarized into 31 best practice pieces of evidence across 6 dimensions:policy guidelines,on-site assessment,on-site treatment,transport,in-hospital handover,and training.Conclusion Prehospital e-mergency personnel should integrate specific contexts,individual patient conditions,and professional judgment to apply evidence judiciously and flexibly,strengthen prehospital-to-hospital handover,thereby optimizing pre-hospital management of sTBI and laying the groundwork for subsequent treatment.