Publications by authors named "Boris Vlottes"
Background: Ambulance drivers in the Netherlands are trained to drive as fluent as possible when transporting a head injured patient to the hospital. Acceleration and deceleration have the potential to create pressure changes in the head that may worsen outcome. Although the idea of fluid shift during braking causing intra cranial pressure (ICP) to rise is widely accepted, it lacks any scientific evidence.
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- Rigid cervical collars can raise intracranial pressure (ICP) in severe traumatic brain injury (TBI) cases, leading to their removal from some trauma protocols in the Netherlands.
- This study tested the collar's effect on ICP in 45 healthy volunteers, using optical nerve sheath diameter (ONSD) as a noninvasive way to estimate pressure changes.
- Results showed a significant increase in ONSD after applying the collar, suggesting a potential rise in ICP, but the impact appears minor in healthy individuals, indicating further research is needed for those with mild or moderate TBI.