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Hospital Stroke Module

Hospital Stroke Module. Scene B. Scene B, Act 1. Help/Reference Materials: How a CT scan works. Protocol. Doctor Notes. EMR. Patient History. jjlkjkjlkjkjkj. Run Ct Scan Confirm primary diagnosis. Description/Actions: Student clicks on Scan button Patient enters CT machine

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Hospital Stroke Module

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  1. Hospital Stroke Module Scene B

  2. Scene B, Act 1 Help/Reference Materials: How a CT scan works Protocol Doctor Notes EMR Patient History jjlkjkjlkjkjkj • Run Ct Scan • Confirm primary diagnosis • Description/Actions: • Student clicks on Scan button • Patient enters CT machine • Switch to Act 2 • Run Ct Scan

  3. Scene B, Act 2 Help/Reference Materials: CT scan of nSAH stroke How to read a CT scan Normal brain CT Protocol Protocol Doctor Notes EMR Patient History Patient History M • Run Ct Scan • 2. Confirm primary diagnosis jjlkjkjlkjkjkj • Description/Actions: • CT results appear on computer along with diagnostic options • If student chooses SAH stroke, move to Act 3 • If student choose nSAH stroke, a window should appear showing what a CT scan of an nSAH stroke looks like • Diagnosis: • A. Subarachnoid Hemorrhagic (SAH) stroke • B. Non-subarchnoid Hemorrhagic (nSAH) stroke

  4. Scene B, Act 3 Help/Reference Materials: Causes of hemorrhagic strokes and the corresponding treatments. Protocol Doctor Notes EMR Patient History jjlkjkjlkjkjkj • Run Ct Scan • Confirm primary diagnosis • Determine what is causing the bleed (VMT) • Actions: • Student determines probably cause of hemorrhage by reading about causes of SAH stroke in VMT. • Student chooses desired course of action. • What is causing this • brain hemorrhage? • Based on your research, will you… • Send the patient for neurosurgery? • Order a second diagnostic test?

  5. Scene B, Act 4 Help/Reference Materials: Definitions/examples of MRI, PET scans and CT angiograms with their commons uses. Protocol Doctor Notes EMR Patient History jjlkjkjlkjkjkj • Run Ct Scan • Confirm primary diagnosis • Determine what is causing the bleed (VMT) • Order a second diagnostic test • Actions: • Student chooses desired test to find aneurysm. • If chooses correctly, moves to Scene C • Secondary test options: • MRI • PET scan • CT angiogram

  6. Dr. _______’s Notes • Ordered CT Scan • Faster • Can find bleed in brain • Less expensive Return to ER

  7. How a CT Scan Works • Return to ER

  8. Dr. _______’s Notes • Ordered CT Scan: faster, can find bleed in brain, less expensive • Subarachnoid hemorrhagic (SAH) stroke diagnosed Return to ER Bleeding

  9. EMR – Scene B, Act 2 • CT scan of nSAH stroke • CT scan of SAH stroke • How to read a CT scan • Normal brain CT • Descriptions of nSAH and SAH strokes

  10. Correct! The bright white areas indicate a bleed in the subarachnoid space. Great job Dr _______! Proceed! Return to ER SAH stroke Bleeding

  11. CT scan of nSAH stroke Does your patient’s CT scan match this one? Try again! Your patient’s CT scan Return to ER nSAH Stroke

  12. EMR – Scene B, Act 3 • Causes of SAH hemorrhagic strokes and their treatments • Return to ER

  13. Neurosurger for Mr. Jones? • Sorry, Mr. Jones’s SAH stroke if probably due to an aneurysm since there is no recent trauma in his medical history. Therefore, surgery is not a good choice for him. Try again! • Return to the ER

  14. A second test for Mr. Jones? • Correct! Mr. Jones’s SAH stroke if probably due to an aneurysm since there is no recent trauma in his medical history. • Now, you must determine the best test for to find Mr. Jones’s aneurysm. Hurry, the clock is ticking! • Return to the ER

  15. Dr. Notes – Act 3 • SAH stroke is probably due to an aneurysm since there is no trauma in Mr. Jones’ recent patient history

  16. EMR: Scene B, Act 4 • Definitions/examples of MRI w/common uses • Definitions/examples of PET scan w/common uses • Definitions/examples of CT angiogram w/common uses • Return to ER

  17. CT Angiogram for Mr. Jones? • Correct! A CT Angiogram will allow you to find the location of the suspected angiogram. Proceed to the CT Angiogram room!

  18. An MRI for Mr. Jones? • This patient’s symptoms started over an hour ago and an MRI will take 45-60 minutes. This may not leave you enough time for treatment. Try again!

  19. A PET scan for Mr. Jones? • PET scans are normally used to show brain functioning, not cardiovascular anatomy. Try again!

  20. Dr. ________’s Notes • CT angiogram ordered in order to determine the location of the aneurysm. MRI rejected due to time issues and PET scan rejected because it would show brain functioning, not brain anatomy.

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