Episode 22: Aneurysmal subarachnoid hemorrhage with Thomas Lawson

In this episode of Critical Care Scenarios, Brandon Odo and Brian Bowling are joined by Tom Lawson, a nurse practitioner specializing in neurocritical care, to discuss the management of a patient with a subarachnoid hemorrhage. The discussion begins with an overview of initial assessments and diagnostic considerations upon receiving a call about a 56-year-old female presenting with a severe headache. The conversation progresses through the steps of managing the patient, including addressing hydrocephalus with an external ventricular drain, securing a detected aneurysm via coiling, and dealing with potential complications such as vasospasm and cerebral salt wasting. The panel also explores various treatment options, such as nimodipine, intra-arterial verapamil, and milrinone, while highlighting the complexities and challenges of neurocritical care.