TBI Herniation Syndromes (Part 1: First Principles)

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.

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