You are transporting an intubated 7-year-old child who experienced a traumatic brain injury. Full spinal precautions have been applied, you are ventilating the child at a rate of 20 breaths/min, and an intraosseous catheter has been placed in the child's proximal tibia. Reassessment of the child's blood pressure reveals a reading of 70/40 mm Hg. You should:
A: give a 20 mL/kg crystalloid bolus and reassess blood pressure.
B: increase the rate of ventilation to 35 breaths/min.
C: raise the head of the backboard to lower intracranial pressure.
D: ventilate as needed to maintain an ETCO2 of 35-45 mm Hg.
Answer: A: give a 20 mL/kg crystalloid bolus and reassess blood pressure.
Health Professions
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