Neuro Crises

INTRODUCTION

Neurologic crises occur frequently and have potentially devastating consequences. Perhaps no other system presents a greater challenge in terms of assessment, as early detection of abnormalities and rapid therapeutic intervention are critical in order to prevent ischemic damage to the brain and spinal cord.

Recent developments in diagnosis, monitoring, and treatment of the neurologically critically ill patient have contributed to improved outcomes, and awareness of these advances is important for the critical care nurse working in any practice setting.

Presented by an experienced neurotrauma critical care nurse, this seminar provides extensive, practice-oriented information regarding neurologic crises, including cerebral aneurysm, acute spinal cord injury, and traumatic brain injury. Innovative methods of monitoring neurologic patients in the ICU, types of monitoring systems, and systemic complications of neurologic disease are also discussed.

A sample of the type of questions to be answered during this one-day program includes:

	Why is timing of major importance for surgical or interventional radiology for the patient with a cerebral aneurysm?
	What are the treatment options for cerebral vasospasm?
	What are the signs and symptoms of the following spinal cord syndromes? - Central cord - Brown Sequard - Anterior cord - Posterior cord?
	Why is the risk of cerebral herniation increased with contusions in the temporal lobe?
	What are two reasons for surgical intervention in the patient suffering a depressed skull fracture?
	What is the mechanism responsible for diffuse axonal injury?
	Why is subdural hemorrhage potentially fatal?

	What are the indications for intracranial pressure monitoring?
	What is the rational for using hyperventilation and Mannitol in the patient with a brain injury?

	What are the differences between SIADH and cerebral salt wasting?
	What are the established guidelines for treatment of intracranial hypertension?

	What are some practical ways of establishing effective communication with the family of the patient experiencing a neuro crisis?
	Why is insertion of a nasogastric tube absolutely contraindicated in a patient with a basilar skull fracture?
	Why does severe head injury often induce a hypercoagulable state?
	What is the "gold standard" for diagnosis of a subdural hematoma?

What are two clinical signs of basilar skull fracture?

Neuro Crises Seminar Flyer Cover

Presented by:
Michael Levy,
R.N., CCRN, CNRN

CONTINUING EDUCATION CREDIT

Seminar approved by:

American Association
of Critical-Care Nurses

6.0 contact hours
Category A

Provider approved by:

California Board of
Registered Nursing
CEP 6910