Head Injuries: Difference between revisions

From Protocopedia
Jump to navigation Jump to search
No edit summary
No edit summary
Line 3: Line 3:




[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE]], (2.02) [[Medical Gases|OXYGEN]] @ 100% via NRB mask or hyperventilate with BVM.
[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE]], (2.02) [[Oxygen|OXYGEN]] @ 100% via NRB mask or hyperventilate with BVM.
* Elevate head and shoulders 15 - 30 degrees if systolic BP > 90 mm Hg.
* Elevate head and shoulders 15 - 30 degrees if systolic BP > 90 mm Hg.
* Refer to [[Altered Mental Status (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).
* Refer to [[Altered Mental Status (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).

Revision as of 14:30, 24 April 2020

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.