#NeuroPostItPearls #29
And #tweetorial From an AWESOME talk given by @EmoryNeuroCrit fellow @JayKinariwala.
"Like Stroke, groin complications may either be
🩸hemorrhagic or🚫 ischemic"
#EmoryNCCTweetorials
Knowing the device used can clue you in on what to watch for:
And #tweetorial From an AWESOME talk given by @EmoryNeuroCrit fellow @JayKinariwala.
"Like Stroke, groin complications may either be
🩸hemorrhagic or🚫 ischemic"
#EmoryNCCTweetorials
Knowing the device used can clue you in on what to watch for:
Jay shared some awesome videos about how the closure devices work which are must-sees if you care for patients after EVT (or other groin-accessed procedures)
Perclose:
cardiovascular.abbott
Angioseal: terumois.com
Perclose:
cardiovascular.abbott
Angioseal: terumois.com
Concerned about bleeding? Press down HARD, to compress the femoral artery against the femoral head of the thigh bone.
Do not lift up to "check" if the patient is still bleeding too soon.
Do not lift up to "check" if the patient is still bleeding too soon.
Another pearl mentioned by @CajalButterfly:
Why not just place groin lines on the contralateral side?
B/c if they patient does need a REBOA (if the injury is noncompressible) or vascular needs a side to access, better to have a clean space for them.
& b/c RP bleeds can ⬆️ intra-abdominal pressure and ⬇️ venous return.
B/c if they patient does need a REBOA (if the injury is noncompressible) or vascular needs a side to access, better to have a clean space for them.
& b/c RP bleeds can ⬆️ intra-abdominal pressure and ⬇️ venous return.
Finally, remember establish the pulses by doppler yourself as soon as the patient arrives from the procedure to confirm their presence!
Thank you @JayKinariwala for this incredible talk filled with pearls!!
Feel free to share others in comments!
Thank you @JayKinariwala for this incredible talk filled with pearls!!
Feel free to share others in comments!
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