Subarachnoid Haemorrhage: Initial Management
SAH initial management includes: resuscitation; specific treatment; supportive care and monitoring; disposition
Tag Subarachnoid Haemorrhage
Subarachnoid Haemorrhage: Prognostication
Subarachnoid Haemorrhage: Prognostication - some factors are modifiable; mortality rates currently ~35%; 15% die prior to reaching hospital; 8-20% long-term dependence
Vasospasm in Subarachnoid Haemorrhage
Vasospasm in SAH: vasospasm = dynamic narrowing of vessels due to a radiological diagnosis; delayed neurological deterioration (DND) is clinically detected neurological deterioration after stabilisation not due to re-bleeding, may be due to multiple other causes; delayed cerebral ischaemia (DCI) is any neurological deterioration >1 hour that presumed due to ischemia, and other causes excluded
Verdant waste
You manage a young male with a subarachnoid haemorrhage. You are called to review because the patient has started to pass green urine
ECG Case 012
Young male found collapsed at home, apparently intoxicated. What does the ECG show?
Raised Intracranial Pressure
ECG changes seen with raised intracranial pressure (ICO) / intracranial haemorrhage and subarachnoid haemorrhage with ECG examples
Sophistry and Subarachnoid Haemorrhage
Are we dealing with myth or medicine, dogma or doggy doo, science or sophistry? Question: What causes T wave inversion on the ECG in the setting of some subarachnoid haemorrhages? Current explanation Because the sympathetic storm induced causes subendocardial myocardial…