Head Injuries: Difference between revisions
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* 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]] | |||
Revision as of 01:34, 2 April 2012
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 ANALGESIA / SEDATION PRACTICE PARAMETER (2.04)
- Note: Morphine is the first choice of Combative Head Injury
- MORPHINE - Initial dose 2-5 mg IVP or IN followed by 2 mg doses. (Max 15 mg)
- Physician’s orders if time permits
- 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.
- 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.