The AHA/ASA 2022 Guideline for managing spontaneous ICH was recently released. This post looks at the key recommendations that affect ED evaluation and management.
Intracerebral Hemorrhage 2022 Guideline Update Read More »
How can you optimize the care of patients with intracerebral hemorrhage?
Intracerebral Hemorrhage: Diagnosis, Emergency Management, and Prognosis Read More »
A 65-year-old male presents with altered mental status and right sided weakness. Symptoms began approximately two hours earlier when the patient began to complain of a severe headache. He has become more confused and is now unable to walk normally. Vital Signs: BP 202/98, HR 89, RR 12, T 36.7, SpO2 98% RA. Exam reveals an uncomfortable gentleman who is able to state his name, but unable to give the correct date or his location. He has profound right sided weakness in both upper and lower extremities. What’s your next step?
EM@3AM: Spontaneous Intracerebral Hemorrhage Read More »
Intracranial hemorrhage is the second most common cause of stroke, accounting for 10 to 15% of all acute strokes. These patients can present with many different symptoms and can be life-threatening. This post details pearls and pitfalls in the differential, evaluation, and management of these patients.
Critical Intracranial Hemorrhage: Pearls and Pitfalls in Evaluation and Management Read More »
Intubation is an important intervention in the ED. We see a critical or impending airway problem and we secure the airway with intubation–very satisfying! Yet our job does not stop there. In addition to maintaining an appropriate ventilation strategy after intubation, it is crucial that we use appropriate post-intubation sedation and analgesia regimens for the continued care of these critical patients. This post will review sedation and analgesia regimens for different clinical scenarios after intubation, as well as some common pitfalls that we must be diligent to avoid.
Post-intubation analgesia/sedation regimens in ED: Pearls & Pitfalls Read More »