Traumatic Brain Injury


Provide supportive treatment to prevent secondary brain injury including:
  • Early airway management if needed
  • Maintain O2 Saturation > 95% (if SaO2 drops below 90%, mortality increases twofold)
  • Maintain ETCO2 at normal levels (40-45mmHg)
  • Maintain patient normotensive (> 60 mmHg in Infants, > 70mmHg in toddlers, > 80mmHg in preschoolers/school-aged children, >90mmHg in older children)
  • IV Fluid KVO unless patient is hypotensive
  • Elevate the head if able to do so while maintaining spinal immobilization