EM · Raised intracranial pressure

Raised intracranial pressure

Also known as Intracranial hypertension · ICP · Cerebral herniation syndrome · Intracranial hypertension syndrome

Raised intracranial pressure is the syndrome of the cranial contents exceeding the compensatory reserve of the rigid skull — the Monro-Kellie doctrine and the compliance curve, the cerebral perfusion pressure equation (CPP = MAP minus ICP), the Cushing triad as a late pre-terminal sign, the herniation syndromes (uncal, central, tonsillar), the emergency management ladder (head elevation, osmotherapy with mannitol 0.5 to 1 g per kg or hypertonic saline (3 per cent, or 23.4 per cent 30 to 60 mL), transient hyperventilation to PaCO2 35, neurosurgery), the LP-before-CT contraindication, and the no-steroids-in-trauma rule. ACEM-primary, globally tagged.