- Joined
- Apr 6, 2019
Sorry to be a continual downer but I play a doctor on the internet and I looked up survival rates for people who score a 3 on the Glasgow Coma Scale due to head trauma and it's not good.
The most optimistic one I could find gives 50% survival with aggressive treatment, assuming his pupils were reactive (I didn't see anyone check, and obviously being out cold for almost an hour before anyone called 911 isn't aggressive treatment, so who knows)
Results Blunt trauma accounted for 477 (63%) and penetrating trauma for 283 (37%) of the 760 head injuries. Penetrating trauma was significantly more likely to be associated with a lack of vital signs on admission (15% vs 9%; P = .03). Overall mortality was 76% (94% for penetrating injuries and 65% for blunt injuries; P<.001). Overall, 79% of patients had a head AIS of 4 or greater. Mortality in the subgroup was 64% (320/497) and was significantly higher in penetrating vs blunt trauma (89% vs 52%; P<.001). Penetrating trauma, high head AIS, hypotension on admission, and age older than 55 years were independent significant risk factors associated with mortality. Only 10% of the 177 survivors had good functional outcome at hospital discharge. Eighty-six patients (17% of those with vital signs on admission) became organ donors.
The most optimistic one I could find gives 50% survival with aggressive treatment, assuming his pupils were reactive (I didn't see anyone check, and obviously being out cold for almost an hour before anyone called 911 isn't aggressive treatment, so who knows)