Category: Neurosurgery

TBI Herniation Syndromes (Part 2: Management)

by Dave McCreary | Jan 7, 2022 | Critical Care, Neurosurgery, Trauma | 0 |

In part 1 we described some of the key concepts of identifying signs of raised ICP and discussed some of the herniation syndromes. Now let’s take a look at the key concepts of managing patients with raised ICP in the ED.
During your primary survey, you noticed his left pupil is dilated and non-reactive.

TBI Herniation Syndromes (Part 1: First Principles)

by Dave McCreary | Dec 11, 2021 | Neurosurgery, Primary Exam, Radiology, Trauma | 0 |

A 37-year-old man has been ejected from his car after crashing at high speed. He was initially mildly confused but then rapidly dropped his GCS to 8. The ambulance crew on scene have intubated him and whisk him into your emergency department.

During your primary survey, you noticed his left pupil is dilated and non-reactive.