Prehospital Emergency Care for Traumatic Brain Injury Patients in Hanoi: A Multicenter Study of Outcomes and Quality of Care.

OBJECTIVE

Evaluate prehospital care quality and outcomes for traumatic brain injury (TBI) patients in Vietnam.

METHODS

We conducted a retrospective multicentre audit at three tertiary Hanoi hospitals (January-August 2025), including adults with moderate-severe TBI. Prehospital care was assessed against five EPIC-TBI standards and in-hospital mortality recorded.

RESULTS

Of 80 cases, 45 (56.3%) were transported by EMS; 14 (17.5%) received oxygen or saturation monitoring and 11 (13.8%) had blood pressure management. In-hospital mortality was 22/80 (27.5%), with 14/22 (63.6%) of deaths potentially preventable.

CONCLUSION

Major prehospital TBI care gaps support the need for enhanced resources, training and quality assurance.