What vital parameter is assessed every 5 minutes post-TBI to evaluate ICP?

In the context of evaluating a patient post-traumatic brain injury (TBI) for intracranial pressure (ICP), it is crucial to assess multiple vital parameters that can indicate changes in the patient's neurological status and provide insights into ICP levels.

Monitoring pupil reaction is essential as it can reveal changes in brain function and response level; abnormalities in pupil size or reactivity can indicate increased intracranial pressure.

Observing posturing—such as decerebrate or decorticate postures—serves as significant neurological indicators. Changes in the type or intensity of posturing can signify changes in ICP or deterioration in neurological status.

Blood pressure changes are also vital, as alterations in blood pressure can reflect the body's response to pressure changes within the cranial cavity. Elevated ICP can lead to variations in blood pressure, which might include a widening pulse pressure, an important factor in assessing neurological status.

Considering the need for comprehensive monitoring, all these parameters—pupil reaction, posturing, and blood pressure—are essential for effectively evaluating ICP and determining the patient’s clinical trajectory. This holistic approach aids paramedics in making informed decisions regarding treatment and transportation protocols in emergency situations.