Induction (to render patients unconscious)
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1. Propofol
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Good for TBI
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2. Midazolam
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0.1 - 0.15mg/kg IV
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3. Etomidate
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0.2-0.3mg/kg IV
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4. Ketamine
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To attenuate intubation stress
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1. Fentanyl
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2-3mcg/kg
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2. Morphine
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3. Lignocaine
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1-1.5mg/kg IV
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RSI - Muscle relaxants
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1. Succinylcholine
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not used as maintenance
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1-2 mg/kg IV
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2. Rocuronium
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relatively longer acting that succinylcholine, can be repeated as maintenance, immediate
reversal agent, Sugammadex, is not available in HK
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0.6-1.2 mg/kg IV
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to treat side effects of induction agents
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1. Phenylephrine
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to treat drop in BP due to peripheral vasodilatation after induction
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2. Ephedrine
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3. Atropine
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0.01-0.02 mg/kg IV
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Antibiotic Cover for open #
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Refer to Antibiotics for Open Fracture Guideline
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