Podcast: Play in new window | Download
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
You are having a busy day in the department when you are paged overhead to the resuscitation bay for an ill appearing patient with a headache…
Initial Vitals
- Temp 98.9
- HR 99
- RR 18
- BP 180/110
- O2 94%
Critical Actions
- Verbalize a Full Neurologic Examination
- Obtain CT Scan Without Contrast
- Consult Neurosurgery for Subarachnoid Hemorrhage
- Reverse Warfarin Coagulopathy
- Administer Antihypertensives
Final Diagnosis
Acute Subarachnoid Hemorrhage on Anticoagulation
Tips and Tricks
Always ask the patient if they have allergies prior to administering ANYTHING.
Additional Reading
- Basics of Subarachnoid Hemorrhage (EM Clerkship)
- How to Reverse Warfarin (AHA)