What are the guidelines for prehospital hyperventilation of head injury patients? - head injury more condition_symptoms
Paramedics in Canada in the past, "said head injury patients hyperventilation to reduce intracranial pressure. I know that I recently read the studies and the different guidelines is not recommended at all preclinical hyperventilation. I am interested in hearing any input for or against. I am looking for the heart of Canada and guidelines for everything related to stroke and I can not find what I want. In addition, if the doctors in other states have guidelines or protocols to share.
Head Injury More Condition_symptoms What Are The Guidelines For Prehospital Hyperventilation Of Head Injury Patients?
2 comments:
"In the current Adult Basic Life Support and treatment protocols for children that hyperventilation, at a rate of 20 breaths per minute in an adult and 25 breaths per minute in a child should be used in a head injury is serious injury, as expected, patient is conscious, arms and legs are abnormally flexed and / or too long a patient or a Glasgow coma scale less than 8 The State Emergency Medical Advisory Committee reviewed these protocols, and it concludes, based on the latest scientific evidence, in patients with severe traumatic brain injury (Glasgow Coma Scale score \\ \\ \\ \\ \\ \\ \\ \\ u0026lt or = 8) After avoiding open or closed head injury, aggressive hyperventilation in the preclinical setting, unless you have active seizures or signs of transtentorial hernia.
Although hyperventilation was used during the years 1970 and 1980 in the acute treatment of severe traumatic brain injury, their use has been critically reviewed in recent years. This followed the publication of a series of reports from theInk excessive hyperventilation (PaCO 2 \\ \\ \\ \\ \\ \\ \\ \\ u0026lt, has more than 25 mm Hg) in cerebral ischemia and a large prospective randomized study did not show a profit, but showed a slight head injury among injured adult patients ventilated get to one PaCO reach 2 of 25 mm Hg compared to adult head injured patients to a PaCO 2 mmHg from 35 to ventilated. "
Outside of clinical protocols New York, United States
From my experience, depending on the severity of the injury and the current rate of respiration. Our protocol is to hyperventilation suctioning only when necessary. Repirations help us if the speed, pace and quality out of range for the patient. If you are 22 and shallow, or 6 and will be enforced (for instance) Help us ventiltion. It also depends strongly on the LOC and when the PT tolerate a complement to the air or ventilation. Hope this helps. Let me know.
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