Traumatic brain injury (TBI) can be defined as the disruption in brain function, or other evidence of brain pathology, caused by an external physical force. Management of increased intracranial pressure should be tackled systematically in the emergency department. The Emergency Neurological Life Support (ENLS) created a simplified tiered approach for management. Initiating sedation and analgesia helps reduce noxious stimulation that may increase ICP. Intracranial hypertension is a widely known severe condition caused by different diseases. Disease management and diagnosis are challenging. The brain could be damaged by compressing effects on the intracranial structures or reducing the blood flow. Brain ischemia or brainstem herniation is a possible complication of intracranial hypertension, which may lead to destructive and fatal deterioration.1 Invasive intracranial devices are still the primary approach to measuring intracranial pressure (ICP)