This is our practice also. non verified level II
Becca
Rebecca Clements, RN BSN
Immanuel St. Joseph's-Mayo Health System
Trauma Services
1025 Marsh St
Mankato, MN 56002-8673
Office: 507-389-4822
Fax: 507-389-4873
clements.rebecca@mayo.edu
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-----Original Message-----
From: pmanion [mailto:pmanion@chartermi.net]
Sent: Friday, November 14, 2003 6:06 PM
To: traumanurses@listserve.com
Subject: [traumanurses] Re: (no subject)
In my facility this common situation-patient with at least the potential for
head injury being too combative to get to CT- is treated with RSI using
Lidocaine, etomidate, succinylcholine, possibly fentanyl and taken to CT.
We do not wait until the patient is quieter nor do we put these patients in
restraints. The urgency of the need to evaluate in the possible presence
of a surgical lesion more than justifies this procedure
Pat Manion
Trauma Coordinator
Genesys Regional Medical Center
ACS verified Level II
---- Original Message -----
From: "Carolyn Koehler" <koehlercarolyn@hotmail.com>
To: <TraumaNurses@TraumaNurseSoc.org>
Sent: Thursday, November 13, 2003 4:47 PM
Subject: (no subject)
> Hello All,
> Our facility recently had an intoxicated combative trauma patient
with
> high potential for a head injury. This case prompted discussion regarding
> sedation without intubation vs. sedation/paralytics with intubation. Does
> anyone have any literature/thoughts etc. regarding these types of
patients?
> What drugs are most appropriate? When to intubate? -Lots of
legal/medical
> components.
> Thanks, Carolyn Koehler APRN
> Trauma Coordinator
> Missoula, MT
>
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