Trauma make the diagnosis

[Ridryder 911]

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

[AZCEP]

Maintain perfusion, elevate the head of the LSB to facilitate venous drainage, maintain normal ventilation, monitor BGL.

[chbare]

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.

[hammerpcp]

Great scenario. I had never heard of (or forgotten) Axonal shearing injury. Very interesting.