HEADS UP
Kate Field reminded us of the mnemonic HEADS UP to help remember how to reduce secondary brain injury
HYPOXIA/HYPOCARBIA prevention ENVIRONMENTAL CONTROL ANTICONVULSANTS/ANTICOAGULANTS DIABETIC CONTROL SEDATION UP PRESSURE | Hypoxia/Hypocarbia prevention
Environmental Control
Anticonvulsants/Anticoagulants
Diabetic Control
Sedation
Up & ICP control
Hyperosmotic agents: Mannitol (can use hypertonic saline...but)
Pressure
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So the simulated patient made it to theatre without need for emergency department decompression...perhaps for another time?