EMS calls in to the department and states they are en-route w/ an ETA of 5 minutes w/ an 8 yo M w/ no known PMHx in severe distress, no further history provided. 3 minutes later an 8 yo M is wheeled into the department by EMS, the child is obtunded, diaphoretic, and has bluish […]
Hypertonic Saline
Posted onIn patients with active or impending herniation and deterioration, 23.4% Normal Saline has been shown to be beneficial. It can only be administered through a central line. The current recommended dose is 30mL which must be given slowly over 10-30 minutes while patient is actively hyperventilated w/ rate >40 and the physician looks for signs […]