Remove Aneurysm Remove Blood Pressure Remove Hemorrhage
article thumbnail

Guidelines in Action: Volume and Blood Pressure Management After Aneurysmal Subarachnoid Hemorrhage

Stroke Journal

Stroke, Ahead of Print.

article thumbnail

Secondary Ischemia Assessment in Murine and Rat Preclinical Subarachnoid Hemorrhage Models: A Systematic Review

Journal of the American Heart Association

BackgroundDelayed cerebral ischemia represents a significant contributor to death and disability following aneurysmal subarachnoid hemorrhage. In murine studies (n=30), the endovascular perforation model was predominantly used, while rat studies primarily employed intracisternal blood injection to mimic subarachnoid hemorrhage.

article thumbnail

Abstract NS1: Identification of Subarachnoid Hemorrhage: The Impact of a Nurse Led Screening Tool Utilizing the Ottawa Rule

Stroke Journal

Background:The 2023 American Heart Association/American Stroke AssociationsGuideline for Management of Patients with Aneurysmal Subarachnoid Hemorrhage(SAH) support use of the Ottawa Rule to screen individuals at risk. Stroke, Volume 56, Issue Suppl_1 , Page ANS1-ANS1, February 1, 2025.

Nursing 40
article thumbnail

Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). He had this ECG recorded.

STEMI 52
article thumbnail

Abstract TMP41: Mapping Accessibility Differences of Acute Stroke Centers in the United States

Stroke Journal

Background:One of the keys to mitigating adverse outcomes of an ischemic or hemorrhagic stroke is timely access to a stroke center. For intracerebral hemorrhage, early intensive blood pressure lowering within 2 hours of onset improved outcomes.

Strokes 40
article thumbnail

Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?

Dr. Smith's ECG Blog

Because the patient had asystole, was resuscitated without difficulty, and had no neurologic function, suspected a cerebral hemorrhage was suspected as the etiology of the arrest, specifically subarachnoid hemorrhage. She went for a head CT and had a severe subarachnoid hemorrhage (SAH) due to ruptured aneurysm.

article thumbnail

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. h/o heart disease (+1) 3.