Provide analgesia and sedation as needed
Analgesia: morphine or fentanyl IV incrementally for pain/ discomfort
Sedation: lorazepam or midazolam IV incrementally for anxiety or sedation
Maintain C-spine precautions if any suspicion of neck trauma
Transport with HOB at 30°
Avoid flexion/rotation of neck. Maintain neck and head midline
Avoid restrictive ETT taping
Recheck pupils and GCS frequently
Take care with interventions that may increase agitation leading to increased ICP (e.g. OG/NG unless clinically indicated)
Increased ICP management per Increased ICP Policy
Treat observed pupillary changes of 2 mm or more
Treat observed GCS decreases of 2 points or more
Monitor for and treat seizure activity (see seizure policy)
Analgesia: morphine or fentanyl IV incrementally for pain/ discomfort
Sedation: lorazepam or midazolam IV incrementally for anxiety or sedation
Treat observed pupillary changes of 2 mm or more
Treat observed GCS decreases of 2 points or more
ALNW:Intracerebral Hemorrhage
Harbor Macros: Syncope
Harbor Macros: Pediatrics
Maine:Prehospital protocol pediatric seizure
Post-tPA Hemorrhage in CVA
SCVMC:Main
Harbor Macros: Back Pain
Harbor Macros: Chest Pain