Round 11 (Headache)

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)