Emergency Neurological Life Support: Intracranial Hypertension and Herniation

Abstract  

Sustained 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, evidence supports the organized implementation of a stepwise management algorithm. Because there are multiple etiologies and many treatments that can potentially reverse cerebral herniation, intracranial hypertension and herniation was chosen as an Emergency Neurological Life Support (ENLS) protocol.

• Content Type Journal Article
• Category Review Article
• Pages 1-6
• DOI 10.1007/s12028-012-9754-5
• Authors
  • Robert D. Stevens, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • J. Stephen Huff, Department of Emergency Medicine and Neurology, University of Virginia School of Medicine, Charlottesville, VA, USA
  • Josh Duckworth, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • Alexander Papangelou, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • Scott D. Weingart, ENLS Course Co-Chair, Division of ED Critical Care, Mount Sinai School of Medicine, New York, NY, USA
  • Wade S. Smith, ENLS Course Co-Chair, Department of Neurology, University of California, San Francisco, CA, USA

• Journal Neurocritical Care
• Online ISSN 1556-0961
• Print ISSN 1541-6933

http://www.springerlink.com/content/u4418143j5342797/

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