TBI medications

[SnickerDoodle_RN]

I was wondering what you guys do in your ED for management of TBI injuries for ICP, risk for herniation? It seems like there are so many ways for this condition to be managed. I know a lot of EDs do hypertonic saline and mannitol, but any other medications?

[abbatar, BSN, RN]

Only other thing we will do (except for pain management, proper elevation of head, etc.) would be BP management with cardene. Unless neurosx has suggestions on case by case basis.