You are transporting a TBI patient to a trauma center. The patient has a GCS of 9: Eyes 2 (open to pain), Verbal 3 (incoherent words), Motor 4 (withdraws to pain), with spontaneous respirations of 10 breaths/min with a non-rebreather mask at 15 L/min of oxygen and SPO2 at 97%. Upon re-assessment, you find the patient’s respiratory rate has decreased to 8/minute and the SPO2 is 90%. You immediately:
3
votes
A. Insert an OPA and ventilate with BVM at 10/min
B. Intubate the patient and ventilate with a BVM at 10/minute
C. Reassess in five minutes
D. Insert an OPA and continue with non rebreather mask at 15 L/min