Subarachnoid haemorrhage
title: Sub Arachnoid Haemorrhage tags: #FFICM notebook: 🌑-FFICM type: inprogress
source: mcqs-and-sbas-in-intensive-care-medicine-oxford-higher-special-training
| Flashcard | type:basic |
|---|---|
| How many strokes are caused by Sub Arachnoid Haemorrhage? | ~5% |
| How many Sub Arachnoid Haemorrhage's are caused by intra cranial aneurysm? | ~85% |
| What is the main scoring system for the severity of Sub Arachnoid Haemorrhages? | World Federation of Neurosurgical Societies (WFNS) |
| In SAH scoring, what does the WFNS stand for? | World Federation of Neurosurgical Societies |
| What grades can you get on the WFNS score for SAH severity? | 1-5 |
| What is the worst score you can get on the WFNS score for SAH? | 5 |
| What is the best score you can get on the WFNS score for SAH? | 1 |
| If you have a sub arachnoid haemorrhage, with GCS 15, what grade of SAH (on WFNS) is that? | 1 |
| If you have a sub arachnoid haemorrhage, with GCS 13-14, what grade of SAH (on WFNS) is that? | 2 or 3, depending on focal neuro deficit or not |
| If you have a sub arachnoid haemorrhage, with GCS 13-14 and no focal neurological deficit, what grade of SAH (on WFNS) is that? | 2 |
| If you have a sub arachnoid haemorrhage, with GCS 13-14 and some focal neurological deficit, what grade of SAH (on WFNS) is that? | 3 |
| If you have a sub arachnoid haemorrhage, with GCS 7-12, what grade of SAH (on WFNS) is that? | 4 |
| If you have a sub arachnoid haemorrhage, with GCS 7, what grade of SAH (on WFNS) is that? | 5 |
| What two factors do the WFNS grading system for SAH use? | GCS and Presence/Absence of Focal Deficit |
| In sub-arachnoid haemorrhages, what clinical signs would you need for a Grade 1 SAH? (on the WFNS scoring system) | GCS 15 |
| In sub-arachnoid haemorrhages, what clinical signs would you need for a Grade 2 SAH? (on the WFNS scoring system) | GCS 13 or 14. With No Focal Deficit |
| In sub-arachnoid haemorrhages, what clinical signs would you need for a Grade 3 SAH? (on the WFNS scoring system) | GCS 13 or 14 |
| In sub-arachnoid haemorrhages, what clinical signs would you need for a Grade 4 SAH? (on the WFNS scoring system) | GCS 7-12 |
| In sub-arachnoid haemorrhages, what clinical signs would you need for a Grade 5 SAH? (on the WFNS scoring system) | GCS 7 or less |
| To minimise rebleeding risk in an unsecured sub arachnoid haemorrhage, what blood pressure should you target (Systolic and MAP) | Sys < 160 and MAP < 110 |
| Should you control blood pressure after a subarachnoid haemorrhage? | Yes if unsecured |
| What is the preferred way to fix a subarachnoid haemorrhage? | Endovascular Coiling |
| In fixing subarachnoid haemorrhages, which has better outcomes in terms of death, coiling or surgery? | Coiling |
| In fixing subarachnoid haemorrhages, which has better outcomes in terms of long term neuro outcomes, coiling or surgery? | Coiling |
| In fixing subarachnoid haemorrhages, which has better outcomes in terms of further rebleeding, coiling or surgery? | Surgery |
| In fixing subarachnoid haemorrhages, which has better outcomes in terms of being a "one and done" fix, coiling or surgery? | Surgery |
| Why should you control blood pressure after a subarachnoid haemorrhage? | To minimise risk of rebleeding |