Traumatic Brain Injuries (TBI’s) account for approximately 2.5 million annual ED visits. Of these, many patients leave with lifelong disabilities and more than 50,000 don’t leave at all (one third of ALL injury related deaths). In those first moments following impact, the EMS care that you provide is a major factor in your patient's outcome. Hyperventilate? Intubate? Permissive hypotension? Do you know what to do? Using case-studies, evidence based guidelines and a common-sense approach, this program gives you strategies for the prehospital management of traumatic brain injuries in a way that real-world medics and EMTs can use them in real world trauma settings. For More Information See: www.RomDuck.com www.RescueDigest.com Learning Objectives: Students will learn: - How to recognize traumatic brain injuries of all levels as they present in the field. - How to perform field and clinical differentiation between concussion, mild TBI, moderate TBI and severe TBI. - How to prioritize field assessment and treatment of TBI patients according to cur-rent clinical guidelines for immediate prehospital care. - How to best coordinate with hospital trauma teams for improved outcomes for TBI patients. - How to implement local TBI prevention strategies.

16. https://www.flickr.com/photos/mrgenecampbell/16457873698/

17. https://www.flickr.com/photos/mrgenecampbell/16457873698/

18. https://www.flickr.com/photos/mrgenecampbell/16457873698/

19. http://www.flickr.com/photos/93835889@N02/8708504888/

22. https://www.flickr.com/photos/29233640@N07/5088892415

23. https://www.flickr.com/photos/29233640@N07/5088892415

26. Keep sat above 90%

28. High Flow O2
PRE-SATURATE

29. Vent @ 10 per min.
Keep etCO2 35-45

31. Use ventilation timers
Use pressure controlled bags
Use a mechanical ventilator

32. DON’T HYPERVENTILATE
Keep etCO2 35-45
Aim for 40 NEVER <30!

33. Keep SBP >90

35. 500ml -1000 ml bolus
20cc kg in Peds

36. Use caution with
sedation & other meds
that drop BP

37. Keep BS > 70

38. Avoid D 50%
Use D25% or less

40. Infants SpO2 >90%
Children SpO2 >90%
Older Kids SpO2 >90%

41. Infants 25 bpm (1:2 seconds)
Children 20 bpm (1:3 seconds)
Older Kids 10 bpm (1:6 seconds)

42. Infants SBP >70
Children SBP >80
Older Kids SBP >90

43. Infants AbGt >70 D5%
Children AbGt >70 D10%
Older Kids AbGt >70 D10%

50. https://www.flickr.com/photos/wadegriffith/5039393582

53. Anticoagulants
Beta blockers
Diuretics