Head Injuries: Difference between revisions
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* 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). | ||
* If Combative refer to [[ | * If '''Combative''' refer to [[Anesthetic Draft|ANESTHETIC PRACTICE PARAMETER]] (2.06) | ||
* | * [[Anesthetic Draft|KETAMINE (KETALAR)]] 4 mg/kg IM x 1 dose (2 mg/kg IVP) | ||
* [[Analgesics|MORPHINE]] - Initial dose 2-5 mg IVP or IN followed by 2 mg doses. (Max 15 mg) | ::'''AND / OR''' | ||
* [[Analgesics|MORPHINE]] - Initial dose 2-5 mg IVP, IM or IN followed by 2 mg doses. (Max 15 mg) | |||
<BR> | |||
'''OTHER OPTIONS''' | |||
* [[Sedative Hypnotics|MIDAZOLAM (Versed)]] - Initial dose 2-5mg IV or IN then 2 mg every 30 seconds to 1 minute. | * [[Sedative Hypnotics|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. | ** (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. | ||
* [[Sedative Hypnotics|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect. | |||
* These drugs may be given in combination for maximum effectiveness. | * These drugs may be given in combination for maximum effectiveness. | ||
* Ensure that Pulse Oximeter is in place. | * Ensure that Pulse Oximeter is in place. | ||
* Ensure that BVM and [[Antagonists|ROMAZICON]] and/or [[Antagonists|NARCAN]] are readily available. | * Ensure that BVM and [[Antagonists|ROMAZICON]] and/or [[Antagonists|NARCAN]] are readily available. | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 00:57, 1 November 2016
Section 6 - TRAUMA
6.07 HEAD INJURIES
INITIAL TRAUMA CARE, (2.02) OXYGEN @ 100% via NRB mask or hyperventilate with BVM.
- Elevate head and shoulders 15 - 30 degrees if systolic BP > 90 mm Hg.
- Refer to ALTERED MENTAL STATUS PRACTICE PARAMETER (5.03).
- If Combative refer to ANESTHETIC PRACTICE PARAMETER (2.06)
- KETAMINE (KETALAR) 4 mg/kg IM x 1 dose (2 mg/kg IVP)
- 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.