Emergency Neurological Life Support: Intracranial Hypertension and Herniation

Robert D. Stevens, Michael Shoykhet, Rhonda Cadena

Research output: Contribution to journalReview articlepeer-review

40 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)76-82
Number of pages7
JournalNeurocritical care
StatePublished - Dec 1 2015


  • Brain edema
  • Herniation
  • Hyperventilation
  • Osmotherapy

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine


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