Keep the airway open, remove foreign material, position gently &
avoid moving cervical spine, intubate if ventilation inadequate or
cricothyrotomy if intubation is not possible
90-100 % Oxygen 10-15 L/min, should be delivered by non-
rebreathing mask/resuscitator.
3. SEIZURES, Valium 5-10 mg over 1-2 min IV bolus, should not be repeated, can
be followed with a loading dose of Phenytoin 15-18 mg/kg IV rate 50 mg/min.
4. TETANUS PROPHYLAXIS, 0,5 ml IM TT or Hyper-Tet.
5. PROPHYLACTIC ANTIBIOTICS, for open cranial wounds give Cefotaxime
(Claforan) 1 g IV.
6. ANALGETICS, if necessary (Toradol, Pethidin or Morphin).
PS: analgetics should not be given unless pain caused by associated injuries.
Adapt from ATLS course and Current Emergency Diagnostis & Treatment