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Table 3 Evidence of an increase in intracranial pressure following craniocerebral trauma

From: Development of a new Emergency Medicine Spinal Immobilization Protocol for trauma patients and a test of applicability by German emergency care providers

Possible indications of increased intracraniall pressure:

Reduced vigilance

Drop on Glasgow coma scale by ≥ 2

Delayed pupil response

Development of hemiparesis

Definitive indications of increased intracranial pressure:

Both pupils dilated

Anisocoria and reduced vigilance

Bending and stretching synergisms

Cushing‘s triad

- Hypertension

- Bradycardia

- Pathological breathing pattern