Emergency Neurological Life Support: Intracranial Hypertension and Herniation

Neurocrit Care. 2017 Sep;27(Suppl 1):82-88. doi: 10.1007/s12028-017-0454-z.


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, 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.

Keywords: Emergency Neurological Life Support; Intracranial hypertension; Intracranial pressure; Neurocritical care.

MeSH terms

  • Algorithms
  • Brain Edema / diagnosis*
  • Brain Edema / therapy*
  • Clinical Protocols* / standards
  • Critical Care / methods*
  • Critical Care / standards
  • Emergency Medical Services / methods*
  • Emergency Medical Services / standards
  • Humans
  • Intracranial Hypertension / diagnosis*
  • Intracranial Hypertension / therapy*
  • Life Support Care / methods*
  • Life Support Care / standards
  • Neurology / methods*
  • Neurology / standards
  • Practice Guidelines as Topic*