A 55-year-old lady presents with an abrupt drop in GCS following a severe occipital headache and vomiting for the preceding 24 hours.
A 70-year-old female presents with 12 hours duration of headache and progressive drowsiness. A CT brain is performed
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 McDonald Hess Jr (1931 – 2019). Hess, alongside his mentor William Hunt, is eponymous with the Hunt-Hess Scale.
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
22 year old female presents with sudden onset of severe occipital headache. Describe and interpret this ECG. LITFL Top 100 ECG
Monitoring in the critically ill subarachnoid haemorrhage patient is primarily to detect vasospasm.
SAH Complications including Neurological deterioration; Seizures; Hyponatremia; Cardiac complications; Re-bleeding; Vasospasm
Subarachnoid Haemorrhage Grading Systems: GCS; Hunt and Hess; WFNS; Fisher; Claassen; Ogilvy and Carter
SAH ICU Management: Follows initial management of SAH; FASTS HUGS IN BED Please applies; certain aspects have particular relevance
SAH initial management includes: resuscitation; specific treatment; supportive care and monitoring; disposition
Subarachnoid Haemorrhage: Prognostication - some factors are modifiable; mortality rates currently ~35%; 15% die prior to reaching hospital; 8-20% long-term dependence