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Head injury
Clive Leach trauma-list@trauma.orgThu, 10 Jan 2002 14:47:19 -0000
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Dear Bjorn,
Thanks for the information.
As to your question; Mosby PHTLS handbook 3rd edition [ 1994 ]page 219 =
"Hyperventilation is achieved with a rate of 24 to 30 breaths per =
minute."
No one from training told me that things had changed!
I Learn a damn lot more from this site!!!
Clive
----- Original Message -----=20
From: Bjorn, Pret=20
To: 'trauma-list@trauma.org'=20
Sent: Monday, January 07, 2002 1:36 PM
Subject: RE: Head injury
Clive,
Hyperventilation decreases intracranial volume (and thus, to some =
degree, pressure) by decreasing cerebral blood flow. As one might =
expect, it's not typically a fair trade.
Hyperventilation should only be used to achieve eucapnea (PaCO2 =
35-45). As such, it should only be undertaken in settings where it can =
be controlled and monitored.
Who's still telling you to do it, and under what circumstances?
Pret Bjorn
Trauma Coordinator
EMMC Trauma Program
489 State Street
Bangor, ME 04401
207.973.7260 (office)
207.973.7673 (fax)
207.941.5085 (voice pager)
-----Original Message-----
From: Clive Leach [mailto:clivedleach@hotmail.com]
Sent: Monday, January 07, 2002 6:40 AM
To: trauma-list@trauma.org
Subject: Head injury
Can someone please tell me why hyperventilating head injury is "out" =
.
We are still told to do it..=20
Many thanks and Happy New Year, Clive
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<DIV><FONT face=3DArial size=3D2>Dear Bjorn,</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT> </DIV>
<DIV><FONT face=3DArial size=3D2>Thanks for the =
information.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT> </DIV>
<DIV><FONT face=3DArial size=3D2>As to your question; Mosby PHTLS =
handbook 3rd=20
edition [ 1994 ]page 219 "Hyperventilation is achieved with a rate of 24 =
to 30=20
breaths per minute."</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>No one from training told me that =
things had=20
changed!</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I Learn a damn lot more from this=20
site!!!</FONT></DIV>
<DIV><FONT face=3DArial=20
size=3D2> &nbs=
p;  =
; =
&=
nbsp; &n=
bsp; =20
Clive</FONT></DIV>
<DIV></DIV>
<BLOCKQUOTE dir=3Dltr=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
<DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV=20
style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
<A title=3Dpbjorn@emh.org href=3D"mailto:pbjorn@emh.org">Bjorn, =
Pret</A> </DIV>
<DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
title=3Dtrauma-list@trauma.org=20
href=3D"mailto:'trauma-list@trauma.org'">'trauma-list@trauma.org'</A> =
</DIV>
<DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, January 07, 2002 =
1:36=20
PM</DIV>
<DIV style=3D"FONT: 10pt arial"><B>Subject:</B> RE: Head injury</DIV>
<DIV><BR></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002>Clive,</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002></SPAN></FONT> </DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002>Hyperventilation decreases intracranial =
volume (and=20
thus, to some degree, pressure) by decreasing cerebral blood =
flow. As=20
one might expect, it's not typically a fair trade.</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002></SPAN></FONT> </DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002>Hyperventilation should only be used to =
achieve=20
eucapnea (PaCO2 35-45). As such, it should only be undertaken in =
settings where it can be controlled and monitored.</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002></SPAN></FONT> </DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002>Who's still telling you to do it, and under =
what=20
circumstances?</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D010592313-07012002></SPAN></FONT> </DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D010592313-07012002>
<DIV><FONT face=3DArial color=3D#800000 size=3D2>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D030133519-19052000>Pret=20
Bjorn</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D030133519-19052000>Trauma Coordinator</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D030133519-19052000>EMMC=20
Trauma Program</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D030133519-19052000>489=20
State Street</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D030133519-19052000>Bangor, ME 04401</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D030133519-19052000></SPAN></FONT> </DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D030133519-19052000>207.973.7260 (office)</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D030133519-19052000>207.973.7673 (fax)</SPAN></FONT></DIV>
<DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
class=3D030133519-19052000>207.941.5085 (voice=20
pager)</SPAN></FONT></DIV></FONT></DIV></SPAN></FONT></DIV>
<BLOCKQUOTE style=3D"MARGIN-RIGHT: 0px">
<DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
size=3D2>-----Original Message-----<BR><B>From:</B> Clive Leach=20
[mailto:clivedleach@hotmail.com]<BR><B>Sent:</B> Monday, January 07, =
2002=20
6:40 AM<BR><B>To:</B> trauma-list@trauma.org<BR><B>Subject:</B> Head =
injury<BR><BR></DIV></FONT>
<DIV><FONT face=3DArial size=3D2></FONT> </DIV>
<DIV><FONT face=3DArial size=3D2>Can someone please tell me why =
hyperventilating=20
head injury is "out" .</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>We are still told to do it.. =
</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Many thanks and Happy New =
Year, =20
Clive</FONT></DIV></BLOCKQUOTE></BLOCKQUOTE></BODY></HTML>
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