monitoring of the neurocritically ill patient in the emergency department

Oct 02, 2014

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monitoring of the neurocritically ill patient in the emergency department. scott weingart. Sick Heads Don’t Take A Joke. who am I?. What is this talk based on?. Brain Trauma Foundation Management and Prognosis of Severe Traumatic Brain Injury http://braintrauma.org. Neuro-Trauma

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icp monitoring
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advanced monitoring 3
sbp 90 map 90

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monitoring of the neurocritically ill patient in the emergency department

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monitoringof the neurocriticallyill patient in the emergency department scottweingart
Sick HeadsDon’t TakeA Joke
whoamI?

What isthis talk based on?
Brain Trauma Foundation Management and Prognosis ofSevere Traumatic Brain Injury http://braintrauma.org

Neuro-Trauma and other sick heads
WhoAreYou?
whereareyou?
what’syourmotivation?

Sick HeadsDon’t TakeA Joke
What’s funny in the ED?
Sick HeadsDon’t TakeA Joke
Sick Heads don’tAutoregulate
SecondaryInjury
SecondaryInjury =OurFault
Monitoring
1. Basic Monitoring2. Advanced Monitoring3. ICP Monitoring
1. Things you Must Do2. Things you Should Do3. Things your pt needs like a hole in the head

CPP=MAP-ICP
Non-InvasiveBlood Pressure
SBP>90MAP>90
90-30=60
PulseOx
95-100%
Sedation

Little Things
GlasgowComaScale

Sit ‘em up
HOB @ 45°
ETCO2

ETCO2<35PaCO2 35-38
C6H12O6
Glucose 80-150
Na
Push Na to ~150Never <140

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