33 min

Round 11 (Headache) EM Clerkship

    • Médecine

CAUTION: THESE NOTES CONTAIN SPOILERS!!!







Case Introduction







You are having a busy day in the department when you are paged overhead to the resuscitation bay for an ill appearing patient with a headache…







Initial Vitals







* Temp 98.9* HR 99* RR 18* BP 180/110* O2 94%







Critical Actions







* Verbalize a Full Neurologic Examination* Obtain CT Scan Without Contrast* Consult Neurosurgery for Subarachnoid Hemorrhage* Reverse Warfarin Coagulopathy* Administer Antihypertensives







Final Diagnosis







Acute Subarachnoid Hemorrhage on Anticoagulation







Tips and Tricks







Always ask the patient if they have allergies prior to administering ANYTHING.







Additional Reading







* Basics of Subarachnoid Hemorrhage (EM Clerkship)* How to Reverse Warfarin (AHA)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!







Case Introduction







You are having a busy day in the department when you are paged overhead to the resuscitation bay for an ill appearing patient with a headache…







Initial Vitals







* Temp 98.9* HR 99* RR 18* BP 180/110* O2 94%







Critical Actions







* Verbalize a Full Neurologic Examination* Obtain CT Scan Without Contrast* Consult Neurosurgery for Subarachnoid Hemorrhage* Reverse Warfarin Coagulopathy* Administer Antihypertensives







Final Diagnosis







Acute Subarachnoid Hemorrhage on Anticoagulation







Tips and Tricks







Always ask the patient if they have allergies prior to administering ANYTHING.







Additional Reading







* Basics of Subarachnoid Hemorrhage (EM Clerkship)* How to Reverse Warfarin (AHA)

33 min

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