Ridryder 911 Posted June 30, 2006 Share Posted June 30, 2006 Here is the link.... all Medics should read this.. Really a good study and lesson for THI... for ventillation refer page 39 http://www2.braintrauma.org/guidelines/dow...prehospital.pdf R/r 911 Link to comment Share on other sites More sharing options...
AZCEP Posted June 30, 2006 Share Posted June 30, 2006 Maintain perfusion, elevate the head of the LSB to facilitate venous drainage, maintain normal ventilation, monitor BGL. Link to comment Share on other sites More sharing options...
chbare Posted June 30, 2006 Author Share Posted June 30, 2006 Good discussion. We try to avoid hyperventilating our head injury patients if at all possible and focus on adequate oxygenation. Asysin2leads, I have seen beta blockers used in a few head injured patients and nontraumatic ruptured berry aneurysms. Ridryder 911, thank you for the link. I know some people may be put off by my land of OZ progressive ambulance stuff, but I like presenting a scenario all the way to the diagnosis and definitive care. I hope it helps people appreciate the big picture and the pathology behind the problem. I always want to know what happens to my patients after they leave the ER and their eventual outcome. I hope this way of looking at health care leads to a greater understanding of the diseases and injuries that I encounter. I try to include the EMS and in hospital aspect of my scenarios. Let me know if I need to spend more time focusing on the EMS aspect of my scenarios. Take care, chbare. Link to comment Share on other sites More sharing options...
hammerpcp Posted July 2, 2006 Share Posted July 2, 2006 Great scenario. I had never heard of (or forgotten) Axonal shearing injury. Very interesting. Link to comment Share on other sites More sharing options...
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