University Hospital of Wales Paediatric Intensive Care Unit Guideline Printed on Wed 23-jul-08
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Last updated March 21, 2013 8:29 AM

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University Hospital of Wales Heath Park
Cardiff
CF14 4XW
02920 747747

Pre-retrieval care package for traumatic brain injury

All patients should be taken to an agreed area for retrieval when initial resuscitation has been done

Aim- To protect airway, adequately ventilate and oxygenate, achieve euvolaemia and sedate to transfer as rapidly as possible if surgery is indicated

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Ventilation

 

C-Spine immobilisation even if radiology is normal

Circulation

NB early signs of impending hypotension include tachycardia
Low urine output
Low peripheral pulse volume
Raised cap refill time

Neurology

Environment

Sedation/analgesia

If there are clinical signs of raised intracranial pressure

 

CT Head

Lab Investigations

 

Secondary survey with appropriate management of identified injuries

Documentation

 

Reference

Mazzola CA, 2002. Critical care management of head trauma in children
Crit Care Med. 30(11 Supp) S393-401

 

Charles Stewart
May 2007