Hypertonic Resuscitation for Trauma
 

Give Hypertonic Fluid for Shock or Head Injury
Give if patient has any criteria below at any time during treatment/transport

 
 

Trauma + Shock

Systolic blood pressure 70 mmHg or less
OR
Systolic blood pressure 71 – 90
and pulse rate more than 107

 

Head Injury

Unconscious
OR
GCS 3 - 8
Any Blood Pressure

 


CALL BIOTEL

Do Not Give Hypertonic Fluid If:
1. Known or suspected pregnancy 6. Ongoing CPR
2. No IV access (cannot give HS through IO) 7. Injury to treatment >4 hours
3. Age <15 or estimated weight <50 kg if age unknown 8. Burns >20% TBS
4. Patient received > 2 liters NS or LR 9. Known prisoner
5. Hypothermia (T < 28°C) 10.Drowning or asphyxia
 

Notify BioTel if Bag is Opened but fluid Not Given (BONG)

   
  Printable HS Card PDF

HS Card Word Document