Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-Management of Severe Stroke and Subarachnoid Hemorrhage

Management of Severe Stroke and Subarachnoid Hemorrhage

Video Transcription

Video Summary

The speaker discusses stroke management, emphasizing the importance of timely medical care and prevention. They outline three main types of stroke: ischemic (the most common), intracerebral hemorrhage, and subarachnoid hemorrhage. Hypertension is highlighted as the leading risk factor for all stroke types. Key points include the importance of dysphagia screening to prevent aspiration pneumonia, recognizing severe stroke symptoms, and utilizing treatments like TPA, endovascular therapy, and hemicraniectomy. The speaker stresses prompt CT scans and lumbar punctures for suspected subarachnoid hemorrhage, managing vasospasm with induced hypertension, and addressing hyponatremia. For intracerebral hemorrhage, they recommend grading with the ICH score, reversing anticoagulation, lowering blood pressure, and neurosurgical consultation, while advising against prophylactic antiepileptics due to adverse cognitive effects.

Keywords

stroke management

ischemic stroke

hypertension

dysphagia screening

intracerebral hemorrhage

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