TBI

Question 1

when can a paitent be considered to have a serious blint head injury? ie be time critical?

Answer 1

with or without loss of conciousness/amnesau and gcs 13-15 with any
- loss of conciousness exceeding 5 mins
skill fracture - depressed, open or base
vomitting more than once
neurological deficit
seizure

Question 2

what should be used to control combativeness?

Answer 2

not midazolam- judicious opiods

Question 3

what is the airway treatment for a traumatic head injury?

Answer 3

if airway paitent do onot insert npa/opa

airway not patent- consider airway positon and mask seal
suction if required
NPA

Question 4

what ventilation considerations should be donne for a TBI??

Answer 4

ensure adequate ventilation rate at 6-7ml/kg target spo2 above 95% and ETCO2 30-35 mmhg

Question 5

what should be done for the perfusion in a traumtic head injury?

Answer 5

normal saline IV max 40ml/kg titrated to response - unless uncontroled overt bleeding
aim bp >120

if BP <100 after 40ml/kg
consult with appropriate truama service
if consult unavaliable normal saline 20ml/kg IV

Question 6

what general care should be provided?

Answer 6

seizures
hypoglycemia
time critical
pain releif