This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: JIPMER 2017, Subject name: Surgery
[{'content': 'A child with moderate to severe head injury is admitted in PICU. First line treatment are all except: \nSelect and explain. \nA. IV mannitol, B. Hypothermia, C. Analgesia and sedation, D. Controlled mechanical ventilation', 'role': 'user'}, {'content': 'Answer: A \nExplanation: In patients with raised intra-cranial tension, first line of management is Elevation of head Follow hypothermia Analgesic and sedation Mechanical ventilation In patients with persistently raised intra-cranial tension - IV mannitol is given', 'role': 'assistant'}]