Approach for Emergency Management Patients with Increased Intracranial Pressure

Abstract

Background: Traumatic brain injury (TBI) is a commonly medical problem also associated with increased intracranial pressure (ICP) induced by intracranial hematoma and/or cerebral edema. Therefore, we aim to look into the common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and increased ICP management.Targeted population: Increased ICP patients who are requiring urgent management in the ED, with Emergency Physicians for teaching approach protocol.Aim of the study: Appropriate assessment and priorities for treatment the increased ICP patients by training protocol to Emergency Physicians. Based on patients' causes of increased ICP. Methods:Collection of all possible available data about the TBI with increased ICP in the Emergency department. By many research questions to achieve these aims so a Midline literature search, PubMed, Scopus and etc, from a reputed database. Were performed with the keywords "critical care", "emergency medicine", "principals of resuscitation in ICP", " intracranial hematoma". Literature search included an overview of recent definition, causes and recent therapeutic strategies.Results: All studies introduced that the initial diagnosis of TBI with increased ICP and their therapy is a serious condition that face patients of the emergency and critical care departments. Conclusion:The application of the step-wise, three-tiered approach to the management of increased ICP, as it utilizes various treatment strategies to target different pathophysiological mechanisms.