521 HEAD INJURIES

In patients with head trauma who have a Glasgow Coma score of 13 or lower:

1. Begin Basic Life Support Head and Spine Injuries procedures.

2. Begin Cardiac Monitoring, record and evaluate EKG strip.

3. Begin an IV infusion of Dextrose 5% in water (D5W), to keep vein open.

4. Perform Endotracheal Intubation only when other methods of airway control are not effective.

5. Transportation decision.

6. If a seizure is witnessed, contact Medical Control for implementation of the following options:

MEDICAL CONTROL OPTIONS

OPTION A:

Administer Diazepam 5.0-10 mg, IV bolus. Repeat doses of Diazepam 5.0-10 mg, IV bolus, may be given if seizure activity persists or recurs. (Rate of administration may not exceed 5.0 mg/min.)

OPTION B:

Transportation decision.

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