Management of the Unconscious Patient

Question 1

Why do you get a dilated pupil in a patient with extradural?

Answer 1

There is impingement of the parasympathetic supply (ipsilateral side) of the pupil causing unopposed sympathetic innervation

Question 2

What are some simple interventions for raised ICP?

Answer 2

Raise the head

IV mannitol

Hyperventilate