Neurology Exam Prep Podcast July 1 Special! Resident Tips on Acute Stroke and Status Epilepticus
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Jul 1, 2020 Medical experts share critical insights on managing acute strokes and status epilepticus. They discuss swift evaluation techniques, emphasizing the urgency of CT scans and vital assessments. The importance of recognizing stroke symptoms promptly is highlighted, along with essential protocols for administering treatments like thrombolysis. Tips for efficient stroke code management are also provided, stressing teamwork and seeking guidance from experienced colleagues. Additionally, urgent care strategies for treating convulsive seizures are explored, focusing on timely medication administration and underlying causes.
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Use Stroke Scale Cards Early
- Start NIH stroke scale promptly as you interact with the patient, including stroke cards if needed.
- Encourage patient cooperation to avoid overscoring deficits and delays.
CT Head Review Strategy
- Review CT head from outside in to avoid missing subdural or subarachnoid hemorrhage.
- Look for hyperdensity to rule out hemorrhage and subtle early ischemic changes like loss of gray-white matter differentiation.
Systematic CTA Vessel Assessment
- On CTA, systematically track carotids, MCA, and basilar arteries to identify large vessel occlusions.
- Don’t forget to check ACA territory despite its less frequent involvement in thrombectomy.