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
A child with moderate to severe head injury is admitted in PICU. First line treatment are all except: 
Select and explain. 
A. IV mannitol, B. Hypothermia, C. Analgesia and sedation, D. Controlled mechanical ventilation
A: IV mannitol
Answer: A: IV mannitol 
Explanation: 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