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Wed Feb 21 15:38:36 GMT 2007

There are other considerations regarding this issue. Ventilation-tidal
volume (if intubated) and resp rate can affect outcomes. This will not
only effect potential increased injury but also venous return to the
heart (preload). Non intubated pt's resp effort, depth etc can also be
early indications of severity of TBI. 

Early GCS and identifying + LOC prior to arrival at the scene and or
delivery to an ED can assist in determining patient changes of condition
and possible identification of a "period of lucidity".

Be Well
David R. Nicholls Jr. RN
Clinical Instructor
Emergency Services
University Medical Center
Ph # (520)694-9363
Pager 7333

-----Original Message-----
From: David Sullivan [mailto:fpcems at yahoo.com] 
Sent: Tuesday, February 20, 2007 6:34 AM
To: Trauma &amp, Critical Care mailing list
Subject: TBI/GCS

I took the TBI course yesterday and we learned about keeping a pt with
?TBI w/ a bp 90mm s, and a SpO2 of at least 90%, this information was
accurate as of 98, just wondering if there have been any changes to this
thought process, and is an early GCS score in field a helpful predictor
or pt outcome in the hospital? and whether or not this pt has
neurosurgery or not?

  Just trying to spark a convo

  dave sullivan BA NREMT-P

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