This week's podcast is on the management of a the patient with Subarachnoid Hemorrhage (SAH). The podcast goes over how to treat blood pressure, ICP and other incredibly important management points in SAH. It's not a complete review, just some tips and reminders.
Best article for EM that I've found, comes out of Columbia
For more reviews on mostly ICU issues see here and here.
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Editor-in-Chief, at EMCrit.org
An ED Intensivist from NY.
Professor
Nassau University Medical Center
No conflicts of interest (coi).
Professor
Nassau University Medical Center
No conflicts of interest (coi).
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very good refreshing talk , well done
Would you intubat the patien if the GCS more than 10 , but the transfer time (by EMS) take 2 hours?
Thank you
great question. I would intubate this patient but the key is to sedate them with propofol for the transport so that the receiving hospital can extubate on arrival if the mental status is still good.
Would you intubate a patient with a GCS of 15 with a normal neurological status and transfer 15 minutes away?
I ran into this problem on shift the other night and did not to preserve the neurological exam for the neurosurgeons, I don’t know if it is the right or wrong move.
Thanks,
JP3
is the article you recommend still the best one? or is there a new update? do you intubate all severe bleeds even if awake and following commands if they are to be transferred?
I was unable to find this Podcast on the old site for the CME. Is it listed under a different name?