Head Injuries - Revision history

Mfrdmanager at 16:23, 17 December 2025

2025-12-17T16:23:04Z

Mfrdmanager at 16:10, 17 December 2025

2025-12-17T16:10:13Z

Mfrdmanager at 16:09, 17 December 2025

2025-12-17T16:09:19Z

Mfrdmanager at 14:20, 13 November 2020

2020-11-13T14:20:45Z

Mfrdmanager: Protected "Head Injuries" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T16:54:48Z

Protected "Head Injuries" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 6 - TRAUMA== ===6.07 HEAD INJURIES=== INITIAL TRAUMA CARE, (2.02) OXYGEN @ 100% via NRB mask or hyperventi..."

2018-02-10T16:54:41Z

Created page with "==Section 6 - TRAUMA== ===6.07 HEAD INJURIES=== INITIAL TRAUMA CARE, (2.02) OXYGEN @ 100% via NRB mask or hyperventi..."

New page

==Section 6 - TRAUMA==
===6.07 HEAD INJURIES===

[[Initial Trauma Assessment and Care|INITIAL TRAUMA CARE]], (2.02) [[Medical Gases|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 (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).
* If '''Combative''' refer to [[Dissociative Anesthetic|DISSOCIATIVE ANESTHETIC]] (2.05)
* [[Anesthetics|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
::'''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.
** (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.
* Ensure that Pulse Oximeter is in place.
* Ensure that BVM and [[Antagonists|ROMAZICON]] and/or [[Antagonists|NARCAN]] are readily available.

[[Category:Trauma|0607]]

@@ Line 33: / Line 33: @@
 * [[Versed|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.
-* [[Ativan|LORAZAPAM (VALIUM)]] 1-2 mg Slow IVP for adults titrated to effect. Max dose of 8mg. If no IV access or Agitated/Violent behavioral patient, administer 1-2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
+* [[Ativan|LORAZAPAM (Ativan)]] 1-2 mg Slow IVP for adults titrated to effect. Max dose of 8mg. If no IV access or Agitated/Violent behavioral patient, administer 1-2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
 * These drugs may be given in combination for maximum effectiveness.
 * Ensure that Pulse Oximeter is in place.

@@ Line 7: / Line 7: @@
 * Refer to [[Altered Mental Status (AMS)|ALTERED MENTAL STATUS PRACTICE PARAMETER]] (5.03).
 * If '''Combative''' refer to [[Dissociative Anesthetic|DISSOCIATIVE ANESTHETIC]] (2.05)
-* [[Ketamine|KETAMINE (KETALAR)]] 2 mg/kg IVP or IN OR 4 mg/kg IM x 1 dose
+* [[Morphine_Sulfate|MORPHINE]] - Initial dose 2-5 mg IVP, IM or IN followed by 2 mg doses. (Max 15 mg)
 ::'''AND / OR'''
-* [[Morphine_Sulfate|MORPHINE]] - Initial dose 2-5 mg IVP, IM or IN followed by 2 mg doses. (Max 15 mg)
+* [[Ketamine|KETAMINE (KETALAR)]] Titrate to effect, starting dose of 0.5 mg/kg slow IVP or 1 mg/kg IM.
 <BR>
 '''OTHER OPTIONS'''
 * [[Versed|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.
-* [[Valium|DIAZEPAM (VALIUM)]] 2 - 20 mg SLOW IVP or IM to desired effect.
+* [[Ativan|LORAZAPAM (VALIUM)]] 1-2 mg Slow IVP for adults titrated to effect. Max dose of 8mg. If no IV access or Agitated/Violent behavioral patient, administer 1-2 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
 * These drugs may be given in combination for maximum effectiveness.
 * Ensure that Pulse Oximeter is in place.
 * Ensure that BVM and [[Flumazenil|ROMAZICON]] and/or [[Naloxone|NARCAN]] are readily available.
 [[Category:Trauma|0607]

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