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What Is Cushing’s Triad EMT and Paramedic School

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Cushing’s Triad is a classic set of three life-threatening signs that indicate increased intracranial pressure (ICP), a condition that can rapidly lead to brain damage, herniation, and death if not treated promptly.

This video breaks down everything you need to know about Cushing’s Triad:

What intracranial pressure (ICP) is and why it’s dangerous

Common causes including traumatic brain injury, brain bleeds (epidural/subdural hematomas), strokes, and cerebral edema

The three hallmark signs of Cushing’s Triad:

Hypertension with widening pulse pressure (systolic and diastolic numbers drift further apart)

Bradycardia (slow heart rate) due to pressure on the brainstem

Irregular or slow respirations, such as Cheyne-Stokes breathing

Cushing’s Triad is the body’s critical warning system when the brain is under severe pressure. Recognizing this triad is essential for EMTs, paramedics, nurses, and medical students.

Management priorities include:

Rapid transport to a trauma center

Supportive care such as elevating the head of the bed

Avoiding anything that worsens ICP (e.g., aggressive bag-valve mask ventilation)

In some cases, paramedics may give osmotic diuretics like mannitol

Early recognition and intervention can save lives. This knowledge is crucial for anyone working in emergency medicine, critical care, or trauma response.

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