International symposium on emergency medicine

Izolirana poškodba glave
– cirkulatorno stabilni
Ketamin S 0,5 -1mg/kg 
+
Dormicum (midazolam) 0,1-0,3mg/kg
(5 -10 mg)
+
succinilholin 1mg /kg
(100 mg =1 ampula)
Dipidolor (piritramid ) 
0,1 mg/kg (7,5mg = 1ml)
ali
Fentanyl 1ml
ali
Morfij 0,1mg/kg
+
Hypnomidate (etomidate) 
0,1-0,3mg/kg (1/3-1 amp)
+
succinilholin 1mg /kg 
(100mg =1 ampula)
Dipidolor (piritramid )
0,1mg/kg (7,5mg = 1ml)
ali
Fentanyl 1ml 
ali
Morfij 0,1mg/kg
+
Hypnomidate (etomidate) 
0,1-0,3mg/kg (1/3-1 amp)
+
succinilholin 1mg /kg 
(100mg =1 ampula)
Dipidolor (piritramid )
0,1 mg/kg (7,5 mg = 1 ml)
ali
Fentanyl
ali
Morfij 0,1mg/kg
+ 
Tiopental (thiopental)
1-3mg/kg (70-210mg)
+
succinilholin 1mg /kg 
(100mg =1 ampula)

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2. Hussain LM, Redmond AD. Are prehospital deaths from accidental injury preventable? BMJ 1994;308:107780
3. J.V. Doran, B.J. Tortella, W.J. Drivet and R.F. Lavery , Factors influencing successful intubation in the prehospital
setting. Prehospital Disaster Med 10 (1995), pp. 259-264
4.
S.A. Syverud, S.W. Borron, D.L. Storer et al., Prehospital use of neuromuscular blocking agents in a helicopter
ambulance program. Ann Emerg Med 17 (1988), pp. 236-242.
5. J.R. Hedges, S.C. Dronen, S. Feero et al., Succinylcholine-assisted intubations in prehospital care. Ann Emerg
Med 17 (1988), pp. 469-472.
6. O.J. Ma, R.B. Atchley, T. Hatley et al., Intubation success rates improve for an air medical program after
implementing the use of neuromuscular blocking agents. Am J Emerg Med 16 (1998), pp. 125-127.
7. Pasquale M, Fabian TC. Practice management guidelines for trauma from the Eastern Association for the
Surgery of Trauma. J Trauma 1998 Jun;44(6):941-56; discussion 956-7.
8. Driscoll P, Gwinnutt C, et al. European Trauma Course – Provider Manual, European Resuscitation Council 2008
( 97-103; 460-469)
9. Manual of Pain Management. 2nd. Edition. ED: warfield CA, Fausett HJ. Published by Lippinocott Williams &
Wilkins, Philadelphia. ISBN O-7817-2313-2
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URGENTNA MEDICINA - IZBRANA POGLAVJA 2010
Za vzdrževanje anestezije po RSI in ETI, damo ponavadi midazolam (Dormicum) 0,1-0,3mg/kg. 
Za vzdrževanje relaksacije damo vecurinium (Norcuron) v dozi 0,1mg/kg TT oz 2 ampuli = 8 mg iv za
odraslega bolnika in ga ponavljamo, ko se pojavijo znaki dekurarizacije (mišične aktivnosti).
Analgezijo vzdržujemo z dodajanjem polovičnih doz analgetikov, ko se pojavijo znaki bolečine.