Protocol 2-484 - Head Trauma

CMH EMS & MIH Protocols


Age:
Patient weight (lbs): (kg):

EMD:

EMR:

EMT:

AEMT:


RN:

Medic:

CP:


NEMSIS Protocol: 9914101 - Injury-Head

Citations:


Change Log:

DateLink to
previous
version
Description of change
11/19/13pdfChanged SMR mandatory to SMR as required.
12/12/14pdfChanged target ETCO2 from 30-35 to 40-45. Added comment to maintain patient temperature. Changed LR to NS. Added desired SBP table. Defined Cushing’s Triad. Made Intubation and RSI DELIBERATE ACTIONS. Added weight-based dose for greater than 65 yr for Fentanyl.
12/12/14pdfAdded RSI indications.
03/02/15Removed DELIBERATE ACTIONS.
11/17/15Removed comment that Morphine is contraindicated in head trauma.
07/22/16pdfMoved fluid bolus to AEMT section.
09/22/17pdfAdded contraindication for c-collar for penetrating neck trauma. Added avulsed tooth and epistaxis treatments to EMR. Added moderate hyperventilation for herniation syndrome.
11/11/17pdfRemoved Lidocaine before intubation.
07/23/19pdfAdded link to new hemorrhage protocolremoved epistaxis.
11/18/19pdfAdded comment to bypass CMH if on CT divert by specific order of Dr. Cauchi.
04/18/20pdfAdded content (without substantive modification) from old Protocol 5-070 - Head Trauma.
06/06/21pdfMoved to emsprotocols.online
12/01/21Updated link to Zofran.
03/15/23pdfClarified RN and medic roles. Added CP.
03/20/23Changed links for Fent.
03/20/23Changed link for Atropine.

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