Ep 104 Emergency Management of Intracerebral Hemorrhage – The Golden Hour

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 19 December 2017

⏱️ 99 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

There exists a kind of self-fulfilling prognostic pessimism when it comes to ICH. And this pessimism sometimes leads to less than optimal care in patients who otherwise might have had a reasonably good outcome if they were managed aggressively. Despite the poor prognosis of these patients overall, there is some evidence to suggest that early aggressive medical management may improve outcomes. As such, the skill with which you manage your patient with ICH in those first few hours could be the most important determinant of their outcome. In this Golden Hour you have a chance to prevent hematoma expansion, stabilize intracerebral perfusion and give your patient the best chance of survival with neurologic recovery.

Transcript

Click on a timestamp to play from that location

0:00.0	Anton Helman here for the EMCases podcast.
0:03.8	Now, 2017 has been another year at EMCases that I'll be forever grateful for.
0:08.9	I'd like to sincerely thank the entire EMCases content team for their dedication and hard work.
0:14.6	The team has helped bring you podcasts, the show notes, just the Nuggets emails, the Q&A Pearl of the week,
0:22.3	the ebooks, the quizzes,
0:29.2	the Crit Cases blog, the Waiting to Be Seen blog, the course, the rapid reviews videos, and the app.
0:30.7	Thank you, team.
0:36.2	Thanks also to all the brilliant guest experts that I've had on the podcast for their amazing insights.
0:38.3	And thanks so much to you,
0:44.4	the EMCases listeners, for listening, learning, and for your helpful feedback. Keep it coming.
0:50.2	I'd also like to thank the EMCases Advisory Board for their wisdom, my family for their loving support, and the Schwartz-Risement Emergency Medicine Institute. Sremi, the incredible
0:55.8	nonprofit organization dedicated to improving EM care through research and education, who've paved
1:01.0	the road for EM cases to grow from an obscure podcast to an entire learning system for emergency
1:06.6	medicine. That's right. 2018 will bring the EM cases learning system.
1:14.2	Now, I won't give it all away now, but imagine bringing together all the EM cases resources,
1:19.6	adding a searchable and customizable Q&A data bank, and a way to track not only what you've
1:25.5	learned, but how it's changed your practice over time,
1:28.5	and serving all this up to you for free in a way that's so easy and intuitive to use
1:33.8	that you won't even notice your brain filling up with practice changing EM knowledge.
1:38.9	That's the EMKases learning system.
1:41.8	We're super excited about this culmin combination of all the EM cases resources.
1:46.0	All right, enough of that. On to EM management of intracerebral hemorrhage.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Dr. Anton Helman, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Dr. Anton Helman and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.