• Neurocritical care · Dec 2015

    Review

    Emergency Neurological Life Support: Intracranial Hypertension and Herniation.

    • Robert D Stevens, Michael Shoykhet, and Rhonda Cadena.
    • Departments of Anesthesiology and Critical Care Medicine, Neurology, Neurosurgery, and Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. rstevens@jhmi.edu.
    • Neurocrit Care. 2015 Dec 1; 23 Suppl 2: S76-82.

    AbstractSustained intracranial hypertension and acute brain herniation are "brain codes," signifying catastrophic neurological events that require immediate recognition and treatment to prevent irreversible injury and death. As in cardiac arrest, a brain code mandates the organized implementation of a stepwise management algorithm. The goal of this emergency neurological life support protocol is to implement an evidence-based, standardized approach to the evaluation and management of patients with intracranial hypertension and/or herniation.

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