Comments on: Treatment of Head Injury http://theemtspot.com/2009/07/16/treatment-of-head-injury/ Medicine Moves Fast ... Keep Up. Tue, 15 May 2012 14:49:39 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Flo http://theemtspot.com/2009/07/16/treatment-of-head-injury/comment-page-1/#comment-1783 Flo Sun, 09 Aug 2009 01:24:13 +0000 http://theemtspot.com/?p=1248#comment-1783 Hi Steve, In our service we were taught the "90 90 30 4" Rule regarding head injuries: - 90 BP Systolic - anything over, and you may blow off clots, anything under and perfusion suffers - 90% SpO2, minimum - 30 degrees head/backrest angle on the stretcher, in order to reduce intracranial pressure (providing no C-Spine injury - an immobilised patient needs to be flat) - 4 mmol/L BSL What do you reckon? Flo Hi Steve,
In our service we were taught the “90 90 30 4″ Rule regarding head injuries:

- 90 BP Systolic – anything over, and you may blow off clots, anything under and perfusion suffers
- 90% SpO2, minimum
- 30 degrees head/backrest angle on the stretcher, in order to reduce intracranial pressure (providing no C-Spine injury – an immobilised patient needs to be flat)
- 4 mmol/L BSL

What do you reckon?

Flo

]]> By: Steve Whitehead http://theemtspot.com/2009/07/16/treatment-of-head-injury/comment-page-1/#comment-1713 Steve Whitehead Sat, 01 Aug 2009 12:05:45 +0000 http://theemtspot.com/?p=1248#comment-1713 Timothy, the medic one program has a bunch of good stuff to learn from. They are a great example of an EMS system leading the charge. I'm glad you liked the post. Timothy, the medic one program has a bunch of good stuff to learn from. They are a great example of an EMS system leading the charge. I’m glad you liked the post.

]]> By: Timothy Clemans http://theemtspot.com/2009/07/16/treatment-of-head-injury/comment-page-1/#comment-1648 Timothy Clemans Thu, 16 Jul 2009 15:55:34 +0000 http://theemtspot.com/?p=1248#comment-1648 I really like the section "Spinal Immobilization." For the Seattle Fire Department's Medic One there is or was the triple seven rule for serious trauma. Seven minutes to get on scene. Seven minutes to have patient ready for ALS transport. And seven minutes to transport. Medics who broke the rule get/got called in to have a meeting with the anal medical director. Source: "Which city is best?" section of "Doctor in charge rarely call the shots" USA Today 2005 http://www.usatoday.com/news/nation/ems-day2-directors.htm I really like the section “Spinal Immobilization.” For the Seattle Fire Department’s Medic One there is or was the triple seven rule for serious trauma. Seven minutes to get on scene. Seven minutes to have patient ready for ALS transport. And seven minutes to transport. Medics who broke the rule get/got called in to have a meeting with the anal medical director.

Source: “Which city is best?” section of “Doctor in charge rarely call the shots” USA Today 2005 http://www.usatoday.com/news/nation/ems-day2-directors.htm

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