Subarachnoid Haemorrhage / pathophysiology, complications and management

[@armandohasudungan]

📌 MAKE THIS LECTURE STICK: FREE PRACTICE QUESTIONS HERE! 🎓 youmakr.ai/test-playground/questionnaire/673d2e33859b9c170836e949

[@bananaslugdragon5764]

I went through this due to aneurysm. I really appreciate the whole walkthrough of this episode. I am fortunate to live so close to Stanford Hospital.

[@gaggymott9159]

My belovéd Mother suffered a SAH on.5 April 2023. As an A&E doctor, I recognised the signs and symptoms of this condition. I called the UK National Ambulance Service at 7.35pm, and it took, with even a professional sub-diagnosis, an attendance time of 35minutes....Yes, 35 minutes for a SAH......This response time is embarrassing and unacceptable for a 'first world' country....Subsequently, my Mum passed away 2 hours after cerebral ischaemia....

[@99bhargavpraneeth16]

Sorry

[@gaggymott9159]

@@99bhargavpraneeth16 Thank you 😔

[@chideraarinze7230]

May her soul rest in peace, Amen.

[@gaggymott9159]

@@chideraarinze7230 Thank you for your kind words. Christmas has been difficult, this year. 😔

[@josh_7569]

So sorry to hear that.

[@waelfadlallah8939]

You make the best neurology videos.

[@jerolyngarae8731]

My mother inlaw was admitted at the hospital at the moment and was Diagnosed with SAH and she's experiencing severe Headaches for 4 days nao😔. Thankyou for the clear explanation about the SAH

[@Chelly0720]

I had a subarachnoid hemorrhage due to a malformation at the age of 14 and I went to the hospital and they didn't take me seriously, I told them how I felt (I was feeling like something tight in my head)and they just ignored me and took everything I told them as a joke and they said they were going to help me and lied, instead they sent me to a mental hospital and in that hospital my symptoms got worse and I started having blurred vision and double vision, I was feeling weak too and suddenly I had the worst headache in the world , my brain was burning and I was in so much pain, now I have to be on meds for the rest of my life

[@ieltsandotherenglishexamso4656]

Hi! Something similar happened to me. I want to discuss this. Can we please connect?

[@chyad]

I needed this! It came on time. Thanks

[@chrisyboi620]

I wish I had known about you when I was going through A&P. You're awesome

[@ellea.8768]

During my internal medicine rotation, I saw an 87M with SAH secondary to a fall from a 4 foot height (small step ladder in his garden). It is unclear if there was a previously existing aneurysm that burst due to the fall. My question is... Is it possible for SAH to occur due to a fall from low height in the ABSENCE of an aneurysm? Thank you so much for doing these videos.

[@waelfadlallah8939]

He mentioned that any occult trauma can cause SAH even without the presence of aneurysm.

[@JACKERWHYT]

@@waelfadlallah8939 yes, it can. They are other risk factors to SAH without anueurysm. Just as in this case Blunt trauma to the head.

[@waelfadlallah8939]

@@JACKERWHYT that what i already said 😳

[@TheSgtsMess]

I would say yes. I had a car accident and suffered a SAH three weeks later. CT at the time with and without contrast found no evidence of an aneurysm. I had a CT scan then a week later as I suffered a relapse thunderclap headache and the CT scan again found no evidence of an aneurysm.

[@roxylalondes]

Absolutely, imagine a pt on blood thinners or someone who has been drinking heavily. They could easily fall, hit their head, and have a SAH. One of my pts was severely intoxicated and had history of ETOH abuse, fell & hit their head, had TBI w/ SAH!

[@Jess-wk5jo]

Does bronchiectasis cause permanent damage to both of lungs?

[@lidiyamolbabu3258]

Thank you very much❤

[@muzammalgujjar8838]

Very well explained sir thank you

[@user--_-_-_-_-_]

Could you please tell which app do you use to make such wonderful and understandable lectures

[@noknack9187]

How to become member of this channel??😐

[@darylprice-wx7fz]

When you say a sudden and severe headache? You're not wrong. It's been over 5 years since my SAH and I haven't forgotten it. It was the worst thing I've ever felt!

[@都瓦克因]

How is your recovery going now? My mother just got out of the hospital 10 days ago and her memory is very bad right now.

[@darylprice-wx7fz]

@user-fw3tz5ns5s yes, I thought I had defied the odds but still have fatigue issues and poor short-term memory. There is also the fear that I will feel that headache again, but a neurosurgeon assured me it won't happen again, probably due to the fact mine wasn't caused by a burst aynurism. Thanks for asking. Hope your mum is going well.

[@ethanol8378]

@@darylprice-wx7fzhey man I was just in a car crash and got a SAH I had no pains or ote and got let out of hospital after a day I’m hoping it don’t get worse it’s been 5 days and feel fine still need to go for a check up soon because have a deep skull fracture and a deep cut through my forehead because I didn’t have a seatbelt and smashed my head on the gear stick at 80mps very scared but hope for the best ey

[@darylprice-wx7fz]

@@ethanol8378 mate, how are you feeling now? Did they do a CT scan or MRI? I'm surprised you were discharged after a day, a SAH is pretty traumatic to the brain and have long-term symptoms.

[@eudaemonicc]

@@ethanol8378hey, I was in a car accident & suffered an SAH & skull fracture too. How are u doing? I really relate & im sorry u went thru all that. Sending healing vibes ❤

[@mosesolwe6395]

doc? make me understand how anticoagulants are applicable in hemorrhage?

[@saphexteni]

Do you mean when he discusses interventions? He mentions that any coagulopathies that are present need to be corrected -- since coagulopathies cause excess bleeding, you would want to treat/correct that in order to prevent further/worsening bleeding. An example he gave was giving vitamin K if the patient is on warfarin (vitamin K will oppose/reverse effects of Warfarin --> Warfarin's job is basically to keep your blood thin and make you bleed more easily).

[@PeterBornAgain]

I was lifting weights like I normally have for the last 3 or so months and I suddenly got this really bad headache that did not go away its been almost a full week I guess I gotta go to the ER tomorrow if it doesn't go away its like this throbbing pain on one side of my head it comes in waves especially if I move suddenly

[@lennondsouza2099]

How are you now mate?

[@newares8140]

U dead?

[@adad5973]

Wondering if all subarachnoid led to strokes?

[@AriannaMeta]

How to be a member??

[@AlphabetNumbers]

Awesome thanks bro. Keep making great videos :) Peace

[@chingchingsusan]

Thank you so much

[@gracep2910]

4:02 you pronounce the “c” in “hydrocephalus” as an “s.” you know, like how you’ve been saying the “c” in “cerebral.”

[@vijayakarur]

My beloved mother suffered aSAH on 21st, 24 th coiling , neurodeficits , pneumonia etc etc ..on 23rd July after a month long hospital ward icu suffering tracheostomy , pleural effusion sepsis etc etc ..what did we achieve after coiling or hospitalisation for endo vascular treatment ...

[@reshmapaul6987]

How is your mother is she getting better?

[@2468ayesha2468]

so helpful

[@fraskhanjulhusin2347]

Thanks❤

[@Broken.brothers.]

What's the time there

[@TheDarkKnight81]

Can you cure it 100%?

[@malakgamal8660]

Yes

[@TheDarkKnight81]

@@malakgamal8660 Niceeeeee

[@rupacharya6601]

I prefer Dirty Medicine more than his videos. Dirty is great from up to down and east to west.

[@chinglanlie639]

that's knowledge

[@Broken.brothers.]

Hi

[@Broken.brothers.]

Sir

[@jasontyger1730]

are you the lad who does squat everyday

[@ismeisme6441]

👍👍👍

[@i_rokle1361]

✋🏻

[@yagmurcamd]

Progress,

[@markianson621]

Subarachnoid haemorrhage is not a stroke

[@markianson621]

Opening pressure is also not always raised

[@ICU306]

It is a type of stroke.

[@kimberleymarkova3641]

Wrong, it behaves pretty much the same way and does the same damage in many cases, spkg from expérience