Initial Management

1. Support ABCs. Secure airway, administer 100% oxygen, and obtain IV access.

2. Immobilize cervical spine for known history of or suspected head trauma.

3. Assess GCS and perform endotracheal intubation if < 8.

4. Assess for signs of herniation (dilated nonreactive pupil, papilledema, posturing) or increased intracranial pressure (Cushing triad). If present, provide controlled mild hyperventilation, consider administration of mannitol or normal saline, and obtain emergent CT scan of the head and neurosurgical consultation.

5. Perform rapid bedside glucose determination; if glucose < 40, administer IV dextrose.

Was this article helpful?

0 0
Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

Get My Free Ebook

Post a comment