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