Emergency Neurological Life Support: Fourth Edition, Updates in the Approach to Early Management of a Neurological Emergency

Updated diagnostic and management algorithms Management protocol which summarizes how the module is to be used Checklists of “to-do” items in the first few hours Expanded sections for prehospital providers, nursing, and pediatrics Updated pharmacotherapy manuscript with new medications, removal of l...

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Bibliographic Details
Published in:Neurocritical care 2020-04, Vol.32 (2), p.636-640
Main Authors: Venkatasubramanian, Chitra, Lopez, George A., O’Phelan, Kristine H.
Format: Article
Language:English
Subjects:
Algorithms
Anesthesia
Cardiac arrest
Central Nervous System Diseases - diagnosis
Central Nervous System Diseases - therapy
Certification
Communication
Critical Care
Critical Care Medicine
Critical Illness - therapy
Curricula
Drug stores
Drug therapy
Education, Professional
Emergencies
Emergency medical care
Encephalitis
Humans
Intensive
Internal Medicine
Ischemia
Life Support Care
Medicine
Medicine & Public Health
Meningitis
Neurology
Nursing
Patients
Pediatrics
Practice Guidelines as Topic
Special Article
Spinal cord
Traumatic brain injury
Ventilators
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Summary:Updated diagnostic and management algorithms Management protocol which summarizes how the module is to be used Checklists of “to-do” items in the first few hours Expanded sections for prehospital providers, nursing, and pediatrics Updated pharmacotherapy manuscript with new medications, removal of less relevant medications, and the addition of alternative medications to reflect global variability Updated/new figures and neuroimaging Clinical pearls and take-home points Detailed communication tables with sample scenarios to use when transitioning care from prehospital to emergency department (ED) and from ED to neurocritical care unit. Acute ischemic stroke (AIS) care has evolved considerably in the last few years, and the AIS manuscript has been extensively rewritten to reflect current practice guidelines from the American Heart Association regarding thrombolytic candidacy, rapid imaging to identify large vessel occlusion and salvageable tissue, especially in late window presentation of AIS for endovascular therapy suitability [2]. The use of targeted temperature management has continued to evolve in this setting, and recent changes have been incorporated into the resuscitation after cardiac arrest module. ENLS version 4.0 protocol authors Module Authors Introduction Chitra Venkatasubramanian, MBBS, MD, MSc, FNCS George A. Lopez MD, PhD, FNCS Kristine H. O’Phelan, MD, FNCS Acute non-traumatic weakness Aimee Aysenne, MD, MPH Shahana Uddin, MBBS, MD Acute ischemic stroke Archana Hinduja, MD Noah Grose, BSN, MSN, ACNP-BC Deborah S. Tran DNP, RN, CNRN, SCRN, NE-BC Aaron Raleigh, BA, EMT-P Airway, ventilation, and sedation Asma Moheet, MD, FNCS Venkatakrishna Rajajee, MBBS Stephanie Qualls, RN, BSN, CNRN Marlina E. Lovett, MD Approach to the patient with coma Aarti Sarwal, MD Sara Stern-Nezer, MD Deborah S. Tran DNP, RN, CNRN, SCRN, NE-BC Intracerebral hemorrhage Arthur M. Lam, MD, FRCPC, FNCS Vineeta Singh, MD AM Iqbal O’Meara, MD Intracranial hypertension and herniation Jonathan J. Ratcliff, MD, MPH Christopher Morrison, PharmD, BCCCP, FNCS Deborah S. Tran DNP, RN, CNRN, SCRN, NE-BC Christopher M. Ruzas, MD Meningitis and encephalitis Katharina Busl, MD, MS Ricardo A. Hernandez, MD Sarah Peacock, DNP, APRN, ACNP-BC William Meurer, MD, MS Sandra Dawn-Watanabe Buttram, MD Pharmacotherapy Theresa Human, PharmD, PhD, BCPS, FNCS Eljim P. Tesoro, PharmD, BCCCP, FNCS Sarah Peacock, DNP, APRN, ACNP-BC Resuscitation following cardiac arrest Sarah L. Livesay, DNP, RN,
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-019-00810-8