Head/Spinal Trauma

S501

  • Maintain airway and administer oxygen as necessary to maintain SpO2 >95%
  • Respiratory goal is to maintain normal rate of 10-12/min to maintain ETCO2 of 35-40 mmHg
  • ONLY with assymetric pupils (> 1mm dif) and comatose, hyperventilate to goal ETCO2 of 30 mmHg
  • Stop hyperventilation if pupils normalize
  • ONLY with assymetric pupils (>1 mm dif) and comatose, consider 500 ml of 3% saline
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