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.

Do Not Panic

Do Not Panic

This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.

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