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 – Risk Stratification and Treatment of Pulmonary Embolism (PE) 2021 – Is the PERT Wilted? - October 7, 2021
- EMCrit 307 – TTM2 Episode Retort with Ben Abella & Joe Tonna - September 23, 2021
- ODR 1 – Email Part 1 – Email is Not the Problem, You Are! - September 22, 2021