Emergency neurological life support: Intracranial hypertension and herniation

Robert D. Stevens, J. Stephen Huff, Josh Duckworth, Alexander Papangelou, Scott D. Weingart, Wade S. Smith

Research output: Contribution to journalReview articlepeer-review

27 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, 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.

Original languageEnglish (US)
Pages (from-to)S60-S65
JournalNeurocritical care
Issue numberSUPPL. 1
StatePublished - Sep 2012


  • Cerebral perfusion pressure
  • Hypertonic saline
  • ICP
  • Mass effect
  • Osmotherapy
  • Protocol
  • Ventriculostomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine


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