Head Injuries

Section 6 - TRAUMA

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.