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Canadian CT head rule for patients with minor head injury. refl.in/n6

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Listen for tachycardia during laryngoscopy. If it occurs, hypertension will soon follow & suggests patient is not sufficiently anesthetised. Stop laryngoscopy, administer opioid or volatile & continue

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Maintain a systolic blood pressure no lower than 110mmHg, even in multi-trauma patients. There is a balance between maintaining an adequate cerebral perfusion pressure (>70mmHg), and permissive hypotension to reduce haemorrhage from other sources, but brain perfusion is a priority.

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Phenytoin load to prevent seizures & secondary hypoxic brain injury

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Consider avoiding or reducing doses of tramadol as it may increase risk of seizure #ref

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Head injury guidelines from the Royal Children's Hospital Melbourne.

www.rch.org.au/clinicalgu...

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