Departments of Neurology, Neurosurgery, and Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Pediatric Critical Care Medicine, Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Neurocrit Care. 2017 Sep;27(Suppl 1):82-88. doi: 10.1007/s12028-017-0454-z.
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.
持续性颅内高压和急性脑疝是“脑代码”，表示需要立即识别和治疗以防止不可逆转损伤和死亡的灾难性神经事件。就像心脏骤停一样，脑代码要求有组织地实施逐步管理算法。本《急诊神经生命支持》方案的目标是实施基于证据的、标准化的方法来评估和治疗颅内高压和/或脑疝患者。
