When caring for a patient with increased ICP, what should paramedics avoid doing?

When caring for a patient with increased intracranial pressure (ICP), hyperventilation should be avoided as a routine intervention. While hyperventilation can temporarily decrease ICP by promoting vasoconstriction and reducing cerebral blood flow, it is not a safe or sustainable long-term strategy. Prolonged hyperventilation can lead to significant reductions in carbon dioxide levels, resulting in respiratory alkalosis, which may cause cerebral vasoconstriction and potentially worsen cerebral perfusion.

Additionally, maintaining stable vital signs, ensuring adequate oxygenation, and positioning the patient upright as appropriate for their specific condition are generally beneficial practices in managing increased ICP. These actions can help optimize cerebral blood flow and overall patient outcomes without posing the risks associated with the routine use of hyperventilation.