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Hospital Stroke Module

Hospital Stroke Module. Scene C. Scene C, Act 1. EMR: Description of how and why CT Angiograms are done. Protocol. Doctor Notes. EMR. Patient History. jjlkjkjlkjkjkj. Perform CT angiogram 2. Determine course of treatment. Description/Actions:

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Hospital Stroke Module

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  1. Hospital Stroke Module Scene C

  2. Scene C, Act 1 EMR: Description of how and why CT Angiograms are done. Protocol Doctor Notes EMR Patient History jjlkjkjlkjkjkj • Perform CT angiogram • 2. Determine course of treatment Description/Actions: Student clicks on “Run CT Angiogram” and video pops up, showing a patient having a CT angiogram scan. Move to Act 2. • Run CT Angiogram

  3. Scene C, Act 2 Electronic Medical Record: Brain blood vessel anatomy Information about clipping aneurysms Information about coiling aneurysms Protocol Protocol Doctor Notes EMR Patient History Patient History M • Perform CT angiogram • 2. Determine course of treatment jjlkjkjlkjkjkj Description/Actions: CT angiogram results show that the patient has an aneurysm in the anterior communicating artery. Student must choose to either clip or coil the artery. • Choose a course of treatment: • 1. Clip the aneurysm (Learn more about this procedure in the EMR) • 2. Coil the aneurysm (Learn more about this procedurein the EMR)

  4. Scene C, Act 3 Electronic Medical Record: Video of emoblization (coiling) process. Protocol Doctor Notes EMR Patient History jjlkjkjlkjkjkj • Perform embolization (coiling) on the aneurysm. • 2. Send patient to ICU Description/Actions: A. Student clicks on “coil the aneurysm”. B. Coiling procedure video or simulation is shown. Insert a coil into the aneurysm.

  5. Scene C, Act 4 EMR: HHH therapy Vasospasms (causes and treatments) Protocol Doctor Notes EMR Patient History • Perform embolization (coiling) • on the aneurysm. • 2. Send patient to ICU. jjlkjkjlkjkjkj Student clicks on “Send patient to ICU” Coiling of aneurysm was successful. Send patient to ICU with orders for HHH therapy and vasospasm monitoring

  6. EMR Scene C – Act 1 • Description of how/why CT Angiograms are performed. • Return to ER

  7. Dr. _______’s Notes • CT Angiogram shows aneurysm in the anterior communicating artery • Aneurysm in Anterior Communicating Artery • Have decided to coil/embolyze the aneurysm due to the patient’s age and lack of invasiveness of this procedure. Return to ER

  8. EMR – Scene C, Act 2 • Brain Blood Vessel Anatomy • Information about Clipping Aneurysms • Information about Coiling Aneurysms • Return to ER

  9. Coiling Aneurysms • Return to ER

  10. Clipping Aneurysms • Return to ER

  11. EMR – Scene B, Act 3 • Insert a coil into the aneurysm. • Return to ER

  12. Dr. _____’s Notes • Aneurysm successfully coiled. • Sent patient to ICU for recovery. Ordered HHH therapy and monitoring for vasospasms.

  13. Congratulations! • You have successfully treated Mr. Jones within the necessary 3 hour time window! If you have scored a ___ or higher, you are still in the running to become Chief of Staff – great job! If you have scored lower than a ___, perhaps the next stroke patient to come through the doors of St. Normal Hospital will have better results. Also, please realize that Mr. Jones’ journey is not over. He will have a 10-14 day stay in the ICU (where the rate of mortality from strokes is very high 2-12 days following the initial stroke) and then undergo physical therapy.

  14. EMR – Scene C Act 4 • HHH Therapy • Vasospasms

  15. Clip the Aneurysm • This procedure is highly invasive and should only be done when the aneurysm is located close to the surface of the brain and on younger patients. Please think carefully before proceeding with this procedure on this patient. Return to Patient

  16. Coil the Aneurysm • Correct! This procedure is much less invasive and a better choice for this patient. Go forward with your treatment of this patient. • Return to patient

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