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…
- EMCrit 303 – A Bounceback Case with Mike Weinstock - July 23, 2021
- EMCrit 302 – Pain Management Update with Sergey Motov - July 15, 2021
- EMCrit 301 – The Five Fears with Rob Orman (Mind of the Resuscitationist) - July 1, 2021