Casualties with moderate/severe TBI should be monitored for:
- Decreases in level of consciousness
- Pupillary dilation
- SBP should be >90 mmHg
- O2 sat > 90
- Hypothermia
- End-tidal CO2 (If capnography is available, maintain between 32-38 mmHg)
- Penetrating head trauma (if present, administer antibiotics)
- Assume a spinal (neck) injury until cleared.