Factors Influencing the Prehospital Management of Head-Injured Patients in Saudi Arabia’s Emergency Medical Service


Globally, traumatic brain injury (TBI) is a major health concern. Andriessen et al. (2011) estimate that over 10 million people are afflicted with the condition, which can lead to hospitalization or death (p. 341). Studies reveal that automobile collisions are one of the leading causes of prehospital brain injury (Maas et al., 2008). Although healthcare providers have developed better preventative and treatment approaches for head-injured patients, mortality rates remain high (Hyder, Wunderlich, Puvanachandra, Gururaj, & Kobusingye, 2007). Road accidents account for sixty percent of traumatic brain injuries, whereas falls account for twenty to thirty percent (Hyder et al., 2007, p. 341). Further, 10%  are sports-related injuries and activities in the workplace, whereas another 10% are linked to violence (Hyder et al., 2007, p. 341). (Hyder et al., 2007, p. 341). Even if severe TBIs occur in inescapable circumstances, it is crucial to seek clinical exams and measures to combat rising mortality rates.

Literature Review

In the Kingdom of Saudi Arabia, motor vehicle collisions and pedestrian injuries from road accidents are the leading causes of TBI (Al-Habib et al., 2013, p. 353). Al-Habib et al. (2013) found that traumatic head injuries (THI) are more prevalent in men than in women. The authors acknowledge that the difference may be due to the fact that women in Saudi Arabia do not drive cars (p. 353). In addition, the authors clarify that 40 percent of fatalities occurred among pedestrians, while 29.2 percent were the result of motor vehicle collisions (p. 353). The data presented in the retrospective study by Al-Habib et al. (2013) indicate the need for an integrated approach to the health issue and the use of both administrative and clinical preventive strategies. Accordingly, Al-Habib et al. (2013) assert that it has never been documented that restraint measures such as seat belts or helmets were employed during injuries. Consequently, the…

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