Courtesy of Critical RN skills | https://youtu.be/RWEVGgBZ9Sg?si=Efzd-NJOKOxSgOel | 2 person prime the system. All tubing system must remain sterile when connecting and flushing. image: Sterile flush, transducer, stopcock, and the EVD with drainage system. Connect primary stopcock to the system. Connect transducer to main system stopcock. MD will flush the system with sterile normal saline... Continue Reading →
The MRS for post stroke patient
What is the purpose of the scale? The Modified Rankin Scale (MRS) is a simple one-item rating scale to check how patients are doing after a stroke. It helps figure out how independent they are by looking at what they could do before the stroke instead of just how well they perform specific tasks now.... Continue Reading →
Amyloid-related imaging abnormalities (ARIA)
Case study: Mr. J. is a 76 year old gentleman who came in with left sided weakness associated with dizziness and visual changes. He was recently started on an anti-amyloid therapies Lecanemab a few weeks back to help slow down his Alzheimer's disease progression. He is AO x 3 at baseline. He is currently a... Continue Reading →
What is CT perfusion?
A CT perfusion study is a medical imaging technique that evaluates the blood flow to various tissues, particularly in the brain or heart. It uses computed tomography (CT) technology in conjunction with a contrast agent to visualize how blood is delivered to different areas over time. In a CT perfusion study, a series of images... Continue Reading →
5 minutes tNk
Overview Tenecteplase is a tissue plasminogen activator produced by recombinant DNA technology. It binds to fibrin and catalyzes the conversion of plasminogen to plasmin, which leads to rapid lysis of clots. Thrombolytic therapy with alteplase or tenecteplase is used in the treatment of myocardial infarction,ischemic stroke, and pulmonary embolism (PE). Alteplase is approved by the... Continue Reading →
PRES syndrome
Case report: Hey guys, we had a patient that came in for acute AMS with neural focal deficit- activated as a code stroke. Patient was found to have acute infarct, acute subarachnoid hemorrhages on the CT non contrast. Patient was also positive for SIRS with significant infectious process, increased WBC and lactate. History of recent... Continue Reading →
Sugammadex
Case report: Hi guys, we had a patient come in with a massive head bleed. Intubated prior to CT. Neurosurgery came by to assess the patient after 40 min of (RSI) intubation. MD wanted to reverse Rocuronium with Sugammadex to do a full neurologic assessment for possible neurosurgical intervention. What is Sugammadex SUGAMMADEX (soo GAM... Continue Reading →
The hyperdense MCA sign
Hey guys, first post! On this site we will bring up different clinical scenario(s) and breakdown the most important and relevant information just like we do a quick five minute report/huddle as a team. I hope you find this helpful! Case report: We had a patient come in for a chief complaint of sudden onset... Continue Reading →