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Hypertonic Saline in TBI

traumatic brain injury

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17 replies to this topic

#1 Doczilla

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Posted 04 February 2012 - 05:23 PM

Anyone have prehospital protocols for using hypertonic saline (3% NaCl) for traumatic brain injury?

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#2 JakeEMTP

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Posted 04 February 2012 - 05:46 PM

This is all we have for Head Trauma. I don't know if this is what you're looking for, but this is our protocol.

http://www.ncems.org...tHeadTrauma.pdf

This is the Multiple Trauma protocol that is referenced.

http://www.ncems.org...tipleTrauma.pdf
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#3 HellsBells

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Posted 04 February 2012 - 06:34 PM

The only fluid we have is NaCl 0.9% and D5W to mix for amiodarone drips.
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#4 cprted

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Posted 04 February 2012 - 08:08 PM

According the Resuscitation Outcomes Consortium's "Completed Study" page, they ran a study in 2009 that was discontinued when there no improvement found when the hypertonic solution was used.

https://roc.uwctc.or...mpleted-studies
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#5 paramedicmike

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Posted 04 February 2012 - 08:48 PM

Not for me or anywhere locally of which I'm aware.
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