Emergency Medicine Cases Ep 195 Management of Subarachnoid Hemorrhage
36 snips
May 28, 2024 Dr. Katie Lin and Dr. Jeff Perry discuss essential priorities in managing subarachnoid hemorrhage, including CT plus CTA, nimodipine use, and preventing rebleeding. They highlight prognostic tools for patient counseling. The podcast explores optimizing care, vasospasm, seizure prophylaxis, neuroprognostication, acute management strategies, and emerging trends in emergency medicine.
AI Snips
Chapters
Transcript
Episode notes
Initial Priorities in Crashing Brain
- Check glucose, perform a rapid neuro exam, and avoid hypotension and hypoxia in crashing brain patients.
- Get the patient to CT quickly and safely for diagnosis and consultant activation.
Upfront CT Plus CTA
- Order a CT plus CTA upfront for sick patients with undifferentiated neurologic deficits to save time.
- Consider this approach for patients with major deficits, low GCS, or contraindications to LP.
Clinical Prediction Challenges
- Clinically predicting whether a stroke is ischemic or hemorrhagic is unreliable.
- Ischemic strokes can present with headaches, although it's not typical.