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What are the guidelines for prehospital hyperventilation of head injury patients?

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What are the guidelines for prehospital hyperventilation of head injury patients?

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Paramedics in Canada, have in the past been told to hyperventilate head injury patients to decrease ICP. I know that I have recently read studies and different guidelines that do not recommend hyperventilation prehospital at all. I am interested in hearing any input either for or against. I have been searching the Canadian Heart and Stroke guidelines for anything related and I can’t find what I am looking for. Also, if any medics from other countries have any protocals or guidelines for the same you could share.

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