Intracranial hypertension
Educational use only. Not clinically reviewed34-year-old man for Intracranial hypertension stabilization. About 8 simulated minutes.
What you will practise
- Recognize sustained intracranial hypertension with inadequate cerebral perfusion.
- Review the fixed monitor, examination, imaging, systemic, and reversible-driver context.
- Activate first-tier positioning and systemic brain-protection intents.
- Activate individualized expert-selected hyperosmolar rescue with safety guardrails.
- Reassess ICP, CPP, pupils, systemic physiology, and escalation need.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Carney N, Totten AM, O’Reilly C, et al. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery. 2017;80(1):6-15.
- Hawryluk GWJ, Aguilera S, Buki A, et al. A management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference. Intensive Care Med. 2019;45:1783-1794.
- Cook AM, Morgan Jones G, Hawryluk GWJ, et al. Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients. Neurocrit Care. 2020;32:647-666.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.