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Head Injury Pre-hospital Management (C (A single episode of hypotension…
Head Injury Pre-hospital Management
A
Opiates will obtund the ICP response to laryngoscopy
It is imperative to secure a patent airway
B
Target: pO2 >10kPa
Target: pCO2 4-4.5 kPa
C
A single episode of hypotension doubles mortality
Target: MAP>80mmHg, SBP >120mmHg
Pressors are probably necessary to maintain MAP if sedation is adequate
D
Sedation
Decreases swelling
Decreases cerebral metabolic demand
Improves outcomes
Ketamine
Has no effect on ICP in I&V patients
Glucose: tight control is irrelevant
Temperature
Hyperthermia is damaging
No indication for hypothermia