Consider the Use Of Thrombolytic Agents for Treatment of Acute Ischemic Stroke Nirav G. Shah MD Acute ischemic stroke is the third leading cause of mortality in the United States…
Remember that New Electrocardiogram Changes in a Patient with a Subarachnoid Bleed may be a Sign of Progression of the Bleed Amisha Barochia MD Loss of consciousness is a common…
Be Alert for Rebleeding in Patients with Subarachnoid Hemorrhage Nirav G. Shah MD Subarachnoid hemorrhage (SAH) is a commonly misdiagnosed problem. Although SAH may produce minor symptoms (see Table 202.1),…
Have a Low Threshold for Obtaining an Initial and Repeat Head Computed Tomography Scan after Subarachnoid Hemorrhage Eric M. Bershad MD Jose I. Suarez MD Subarachnoid hemorrhage (SAH) is a…
Obtain a Head Computed Tomography Scan and Lumbar Puncture in Patients with Human Immunodeficiency Virus or Acquired Immunodeficiency Syndrome and New-Onset Mental Status Changes Eric M. Bershad MD Jose I….
Be Alert for Conversion of Nonhemorrhagic (Ischemic) Stroke to Hemorrhagic Stroke Jose I. Suarez MD Ischemic stroke accounts for about 80% of all strokes. Many patients with an initial ischemic…
Remember that Patients Undergoing Barbiturate Coma must have Adequate Electrophysiological Monitoring Jose I. Suarez MD High-dose barbiturates have been used for more than 60 years in critically ill neurologic patients….
Consider Last-Ditch Maneuvers to Lower Intracranial Hypertension in Impending Herniation Eliahu S. Feen MD Jose I. Suarez MD What to Do Elevated intracranial pressure (ICP), or intracranial hypertension, is a…
Obtain a Computed Tomography Scan of the Head Immediately after any Craniotomy or Intracranial Procedure if Patient’s Neurologic Examination is Different from Preoperative Assessments Jose I. Suarez MD Management of…
Be Aware that Increasing Positive End-Expiratory Pressure may Result in Increasing Intracranial Pressure Eliahu S. Feen MD Jose I. Suarez MD Watch Out For Positive end-expiratory pressure (PEEP) can cause…
