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Head Trauma 1421

Head Trauma
VetBooks.ir History of traumatic brain event

Yes No

Signs of hypovolemic Rule out other causes of
shock and/or systolic brain dysfunction
blood pressure (e.g., neoplasia, vascular
100 mm Hg event, hypoglycemia)
Yes No
• Consider further imaging
(computed tomography)
Abnormalities on
• IV fluid resuscitation neurologic exam • Administer diuretic (mannitol)
• Consider hypertonic saline Yes if signs of elevated
intracranial pressure
No
Re-evaluate/recheck Recheck neurologic exam
blood pressure
Monitor and Improved or static findings
supportive care Yes
No
Yes
Blood pressure improved?
• Repeat diuretic dose if
Consider vasopressors for indicated
cardiovascular support • Referral for imaging and
No potential surgical intervention

No Adequately volume Yes Re-evaluate/recheck
resuscitated? blood pressure

EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
ORIGINALLY WRITTEN BY: Scott P. Shaw, DVM, DACVECC

Clinical Algorithms

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