Neurosciences: Neurological Emergencies — Expert Level Clinical Reference

Neurosciences · Basic Sciences

How it begins

Diagnóstico y manejo de las emergencias del sistema nervioso: ictus, estado epiléptico, coma, meningitis, hemorragia subaracnoidea, hipertensión intracraneal y patología crítica del SNP.

What it covers

1. Neurological urgency: time is brain tissue
2. · Neurological emergency categories
3. Urgent neurological evaluation: the systematic approach
4. · The 60 Second Assessment
5. · Glasgow Coma Scale (GCS) — Urgent application
6. · Urgent pupillary examination
7. Coma and alterations in the level of consciousness
8. · Differential diagnosis — AEIOU-TIPS
9. · Respiratory patterns in coma — Locator value
10. Acute ischemic stroke: stroke code and reperfusion treatment
11. · Stroke code — Time-dependent protocol
12. · Inclusion/exclusion criteria for IV tPA
13. · Management of blood pressure in acute ischemic stroke
14. · Posterior circulation stroke — Basilar thrombosis
15. Subarachnoid hemorrhage: diagnosis, acute management and vasospasm
16. · Diagnosis — The two-step algorithm
17. · Hunt-Hess scale and Fisher scale — Severity and risk of vasospasm
18. · Cerebral vasospasm — The most devastating delayed complication
19. Intracerebral hemorrhage: acute management and expansion factors
20. · Estimation of hematoma volume and expansion factors
21. Cerebral venous thrombosis (CVT)
22. · Diagnosis and management
23. Status epilepticus: stepwise treatment protocol
24. · SEEG Step Treatment Protocol
25. · Nonconvulsive status epilepticus (SENC)
26. Bacterial meningitis and encephalitis: diagnosis and urgent antibiotics
27. · The 30-minute rule — Do not delay the antibiotic
28. · Herpetic encephalitis — The most urgent treatable encephalitis
29. Acute intracranial hypertension: monitoring and stepwise treatment
30. · ICP monitoring
31. · Stepped treatment of ICH — Therapeutic ladder
32. Brain death: diagnostic criteria and protocol
33. · Conditions prior to diagnosis
34. · Neurological examination of brain death
35. Myasthenic crisis: respiratory evaluation and management
36. · 20-30 rule — Elective intubation parameters
37. Acute Guillain-Barré syndrome: monitoring and treatment
38. · GBS Disability Scale and UCI Criteria
39. Acute spinal cord compression: a surgical emergency
40. · Spinal cord compression syndrome — Semiology
41. Metabolic encephalopathies: Wernicke, hepatic and hypoxic-ischemic
42. · Wernicke encephalopathy — Always treat, never skip
43. · Post-CRP hypoxic-ischemic encephalopathy (HIE) — Neuroprotection
44. Severe head trauma: neurological management
45. · Classification and primary/secondary lesions
46. Special neurovascular emergencies: RCVS, vasculitis and PRES
47. · PRES — Posterior reversible encephalopathy
48. · CNS vasculitis — Complex differential diagnosis
49. Emergency neuroimaging: what to ask for and what to look for
50. · Cranial CT protocol in emergencies — Sequences and key findings
51. · Urgent MRI — When it is essential
52. Neurological emergency drugs: quick guide to use