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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