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:

Question

Poll Results

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Answer 1

A. Insert an OPA and ventilate with BVM at 10/min

Answer 2

B. Intubate the patient and ventilate with a BVM at 10/minute

Answer 3

C. Reassess in five minutes

Answer 4

D. Insert an OPA and continue with non rebreather mask at 15 L/min

EPIC - TBI