Head Injuries

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Section 6 - TRAUMA

6.07 HEAD INJURIES

INITIAL TRAUMA CARE, (2.02) OXYGEN @ 100% via NRB mask or hyperventilate with BVM.

AND / OR
  • MORPHINE - Initial dose 2-5 mg IVP, IM or IN followed by 2 mg doses. (Max 15 mg)


OTHER OPTIONS

  • MIDAZOLAM (Versed) - Initial dose 2-5mg IV or IN then 2 mg every 30 seconds to 1 minute.
    • (Max dose 15 mg) in the intubated patient. IM .07-.08 mg/kg with onset in approximately 15 minutes. IM injection requires immediate IV access upon sedation.
  • DIAZEPAM (VALIUM) 2 - 20 mg SLOW IVP or IM to desired effect.
  • These drugs may be given in combination for maximum effectiveness.
  • Ensure that Pulse Oximeter is in place.
  • Ensure that BVM and ROMAZICON and/or NARCAN are readily available.