Neurology Exam Prep Podcast July 1 Special! Resident Tips on Acute Stroke and Status Epilepticus
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Jul 1, 2020 Medical experts share critical insights on managing acute strokes and status epilepticus. They discuss swift evaluation techniques, emphasizing the urgency of CT scans and vital assessments. The importance of recognizing stroke symptoms promptly is highlighted, along with essential protocols for administering treatments like thrombolysis. Tips for efficient stroke code management are also provided, stressing teamwork and seeking guidance from experienced colleagues. Additionally, urgent care strategies for treating convulsive seizures are explored, focusing on timely medication administration and underlying causes.
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Always Confirm Last Known Normal
- Always ask for last known normal time to determine TPA eligibility and speed up treatment.
- Quickly get a reliable historian if the last known normal is uncertain, especially in aphasic patients.
First Stroke Code Jitters
- Safa recalled dropping her coffee the first time the stroke pager went off, highlighting the stress of the first stroke code.
- New residents should accept the initial fear and learn from experience to improve.
Check BP and Glucose Early
- Obtain prehospital systolic blood pressure and blood glucose early to assess stroke mimics or TPA exclusions.
- Treat extremely high blood pressure with agents like nicardipine before thrombolysis.