Place on full monitors
Continuous heart rate monitor
Continuous pulse-oximetry
Blood Pressure every 3-5 minutes
End-todal CO2, if availibile
Place nasal canuala
Maintain spinal precautions
Elevate head of deb 30 degrees
Respiratory Goals Met?
Oxygen saturation 94-99%
AND
0 months - 2 years = 30-60 bpm
2 years - 14 years old= 20-30 bpm
>14 years old = 10-20 bpm
Signs of moderate/severe TBI
GCS < 13 or AVPU-VPU
Signs of skull fracture or boggy cephalohematoma
Post-traumatic seizure
Deteriorating mental status