PREHOSPITAL EMERGENCY CARETaylor Francishttps./doi.org10.1080/10903127.2023.2187905Taylor Francis GroupBRAIN TRAUMA FOUNDATION TBI GUIDELINESOPEN ACCESS TorPrehospital Guidelines for the Management of Traumatic Brain Injury -3rdEditionAl Lulla2,Angela Lumba-Brown,Annette M.Totten,Patrick J.Maher,Neeraj Badjatiae,Randy Bell',Christina T.J.Donayri9,Mary E.Fallat",Gregory W.J.Hawryluk',Scott A.Goldberg',Halim M.A.HennesSteven P.Ignell,Jamshid Ghajar,Brian P.Krzyzaniakm,E.Brooke Lerner,Daniel Nishijima,CharlesSchleienP,Stacy Shackelford9,Erik Swartz',David W.Wright,Rachel Zhang,Andy Jagoda,andBentley J.BobrowDepartment of Emergency Medicine,UT Southwestern Medical Center,Dallas,Texas;PDepartment of Emergency Medicine,StanfordUniversity,Stanford,California;Department of Medical Informatics and Clinical Epidemiology,Oregon Health Science University,Portland,Oregon;Department of Emergency Medicine,Icahn School of Medicine at Mount Sinai,New York,New York;Department of NeurocriticalCare,Neurology,Anesthesiology,Neurosurgery,University of Maryland School of Medicine,Baltimore,Maryland;'Uniformed ServicesUniversity,Bethesda,Maryland;Trauma Services,Queens Medical Center,Honolulu,Hawaii;"Hiram C.Polk Jr Department of PediatricSurgery,University of Louisville,Norton Children's Hospital,Louisville,Kentucky;'Department of Neurosurgery,Cleveland Clinic and AkronGeneral Hospital,Fairlawn,Ohio;Department of Emergency Medicine,Brigham and Women's Hospital,Harvard Medical School,Boston,Massachusetts;"Department of Pediatric Emergency Medicine,UT Southwestern Medical Center,Dallas Children's Medical Center,Dallas,Texas;Department of Neurosurgery,Stanford University,Stanford,California;"Menlo Park,California,United States;"Department ofEmergency Medicine,Medical College of Wisconsin,Milwaukee,Wisconsin;Department of Emergency Medicine,UC Davis,Sacramento,California;PPediatric Critical Care,Cohen Children's Medical Center,Hofstra Northwell School of Medicine,Uniondale,New York;4Traumaand Critical Care,USAF Center for Sustainment of Trauma Readiness Skills,Seattle,Washington;Department of Physical Therapy andKinesiology,University of Massachusetts,Lowell,Massachusetts;Department of Emergency Medicine,Emory University,Atlanta,Georgia;University of Arizona College of Medicine-Phoenix,Phoenix,Arizona;"Department of Emergency Medicine,McGovem Medical School at TheUniversity of Texas Health Science Center at Houston (UTHealth),Houston,TexasARTICLE HISTORYReceived 19 December 2022;Revised 6 February 2023;Accepted 28 February 2023IntroductionThe mortality rate associated with blunt traumatic injuryWorldwide,69 million people sustain traumatic brain injuryis exponentially increased when associated with TBI.Deathfrom severe TBI often occurs within the first few hours fol-(TBI)annually(1).The incidence of TBI in low-and mid-lowing injury.Prehospital and early management of the pri-dle-income countries is three times greater than in high-mary injury with prevention of secondary b
