TREATMENT

PROTOCOL
FOR HEAD INJURY CASES

◦ DIL
◦ NPO
◦ ET TUBE CARE (IF THE PATIENT IS INTUBATED)
◦ NASAL O2 (IF THE PATIENT IS NOT INTUBATED)
◦ CONTINUOUS BLADDER DRAINAGE
◦ HOURLY BP/PULSE RATE /TEMPERATURE CHART
◦ IVF – NS
◦ RL
◦ INJECTION CEFATOXIME 1GM IV BD
◦ INJECTION PARACETAMOL IV BD
◦ INJECTION PANTOPRAZOLE OR INJECTION RANITIDINE
◦ NEURO OBSERVATION
◦ FOR SEVERE HEAD INJURY CASES INCLUDE FOLLOWING DRUGS
◦ INJECTION PHENYTOIN 100mg IV TID
◦ INJECTION DEXA 8MG IV BID
◦ INJECTION MANNITOL – after NEURO SURGEON OPINION
◦ ALWAYS CHECK BLOODY PRESSURE (SYSTOLIC >100mg)
◦ DO RENAL PARAMETER
◦ NOT AT ALL INDICATED IN EDH

◦
FOR BURNS TREATMENT
◦ DIL
◦ NASAL O2
◦ CONTINUOUS BLADDER DRAINAGE
◦ HOURLY BLOOD PRESSURE / PULSE RATE/ TEMPERATURE
◦ INTRAVENOUS FLUID AS PER PARK LAND FORMULA
FOR PERFORATION

DIL
NASAL O2
RYLE’S TUBE ASPIRATION
CONTINUOUS BLADDER DRAINAGE
HOURLY BP/ PR /TEMPERATURE
INTRAVENOUS FLUID –NS 2
RL 2
5%D -2
CONT….
Injection cefotaxime 1GM IV BID
Injection Metranidazole 500mg
IV TID
Injection PANTOPRAZOLE 40mg
IV BID
injection TRAMADOL
100 mg IV BI D