Neuro Critical Care Cases

In this podcast episode, Dr. Evie Marcolini discusses a case involving a 64-year-old male pedestrian who was hit by a car. The patient has a Glasgow Coma Scale (GCS) of 7, no focal neuro deficits, blood pressure of 115/62, oxygen saturation of 85%, temperature of 35.7, and heart rate of 95. The hosts discuss the importance of airway management and performing a neuro exam before intubation. They also emphasize the need to examine the spine and abdomen before administering sedation. The hosts suggest putting the head of the bed up 35 degrees to help with ICP and using agents like ketamine for sedation. They also recommend doing a FAST and EFA to rule out other injuries. Overall, the hosts provide valuable insights into managing a neuro case in the emergency department.