STROKE-RESUSCITATION

SUMMARY

1. ABC of critical care: airway management, respiratory support, BP control.

2. IV fluids, avoid hypotonic fluids which may worsen cerebral edema.

3. Keep patient NBM.

4. Emergent CT brain (plain scan) +/- angiography & perfusion scan.

5. Seizure management.

6. BSL: keep patient normo-glycemic.

7. ICP control.

8. Fever management: fever can be potentially harmful to the ischemic brain.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].