Today we are going to discuss increased intracranial pressure (ICP) and herniation. This is the first of 13 lectures to go with the upcoming Emergency Neurological Life Support Course that I co-chair.
Screen for Increased Intracranial Pressure
Head of Bed Up
PaCO2 35-38 mm Hg
Control Pain/Sedate if Intubated
Propofol (or Phenobarb) Drip titrated to take patient to low levels of sedation scales (5-200 mcg/kg/min)
Moderate Hyperventialtion (I reserve for patients who are herniating)
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Now, on to the podcast…
Latest posts by Scott Weingart (see all)
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- EMCrit Podcast 243 – The COACT Trial on Early vs. Delayed Cath after Cardiac Arrest without STEMI - March 31, 2019
- EMCrit Podcast 242 – ED Nephrology with Joel Topf aka KidneyBoy - March 9, 2019