You are transporting a semiconscious 30-year-old female with an isolated head injury to a local trauma center. When you reassess her, you note that her BP is 78/56 mm Hg and her radial pulses are no longer palpable. You should:
A. elevate the foot of the backboard 12" to 15" and reassess her blood pressure.
B. allow her to remain hypotensive as this will decrease intracranial pressure.
C. rapidly increase her systolic blood pressure with 1 to 2 liters of normal saline.
D. infuse 20 mL/kg of normal saline as needed to maintain her BP at 90 mm Hg.
Answer: D. infuse 20 mL/kg of normal saline as needed to maintain her BP at 90 mm Hg.
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