CT Case 016
A 55-year-old lady presents with an abrupt drop in GCS following a severe occipital headache and vomiting for the preceding 24 hours.
Tag subarachnoid hemorrhage
CT Case 004
A 70-year-old female presents with 12 hours duration of headache and progressive drowsiness. A CT brain is performed
William E. Hunt
William Edward Hunt (1921 - 1999) was an American neurologist and neurosurgeon. He is eponymous with the ophthalmologic entity Tolosa-Hunt syndrome, and the Hunt-Hess classification for intracranial haemorrhages.
Robert Hess
Robert McDonald Hess Jr (1931 – 2019). Hess, alongside his mentor William Hunt, is eponymous with the Hunt-Hess Scale.
ECG Case 113
65 year old male who was brought to the Emergency Department following an out-of-hospital cardiac arrest. Describe and interpret this ECG. LITFL Top 100 ECG
ECG Case 102
22 year old female presents with sudden onset of severe occipital headache. Describe and interpret this ECG. LITFL Top 100 ECG
Monitoring in Subarachnoid Haemorrhage
Monitoring in the critically ill subarachnoid haemorrhage patient is primarily to detect vasospasm.
Subarachnoid Haemorrhage: Complications
SAH Complications including Neurological deterioration; Seizures; Hyponatremia; Cardiac complications; Re-bleeding; Vasospasm
Subarachnoid Haemorrhage Grading Systems
Subarachnoid Haemorrhage Grading Systems: GCS; Hunt and Hess; WFNS; Fisher; Claassen; Ogilvy and Carter
Subarachnoid Haemorrhage: ICU Management
SAH ICU Management: Follows initial management of SAH; FASTS HUGS IN BED Please applies; certain aspects have particular relevance
Subarachnoid Haemorrhage: Initial Management
SAH initial management includes: resuscitation; specific treatment; supportive care and monitoring; disposition
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