06.01.2020 - By Zack Olson, MD and Michael Estephan, MD
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)