Management of Raised ICP Jon-Paul Chamoun Case study Little Jimmy 24 year old male presents to ED post footy tackle with severe headstrike associated wth loss of consciousness 1 minute. -GCS 14 at the scene -Sore head -On examination HR 85 reg. BP 130/80 RR CVS, Abdo, Resp NAD Neuro: PEARL UL + LL Normal Tone Power Reflexes Sensation and Coordination Tea Break! Beep Beep Hi Dr, please review little Jimmy. Drowsy ++ Crap, I missed the SSSM Neurosurg topics! Little Jimmy.. Now HR 40 BP 180/90 RR Drowsy+++ Eyes crossed Pupils dilated PANIC = Neurons not firing RIP Little Jimmy A bad referral leads to The drainage Physiology Inside the rigid Vault (~ 1500mls) -Brain (80%) -Blood (10%) -CSF (10%) Intracranial Pressure Normal :