Air Methods Critical Care Review | Neurology Questions and Answers

Air Methods Critical Care Review | Neurology Questions and Answers What vascular anatomy in the brain provides collateral blood flow between the Adrea and posterior circulation of the brain, protecting against ischemia in the event of vessel disease or damage? Circle of Willis internal carotid arteries anterior cerebral artery anterior communicating artery - Answer-Circle of Willis Your 75 year old male patient has sudden onset of aphasia facial drooping to the left side severe left arm and leg impairment and a conjugate gaze to the right. They started about one hour ago and the patient was last seen normal about two hours ago what would be your diagnosis and transport decision? GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 2/11 - Large vessel occlusion (LVO) cerebral vascular accident (CVA) and transport to a comprehensive stroke center - the patient is post active from previous seizure. Transport to your nearest ED for stabilization. - Left-sided cerebral vascular accident (CVA) and transport to primary stroke center for evaluation possible TPA administration. - Transient ischemic attack (TIA) and transport would be up to the family or patient if he's able to answer questions. - Answer-Large vessel occlusion (LVO) cerebral vascular accident (CVA) and transport to a comprehensive stroke center This patient would have a rescore of at least seven from the information above and would likely be suffering from a large special occlusion. This makes the transport to a comprehensive stroke center extremely critical so that the patient can have access to interventional radiology and mechanical thrombectomy. This patient is most likely suffering from a large LVOCVA. The TPA may be helpful, it may be unsuccessful in breaking up a larger clot. It may also cost smaller clots to break off the larger clot and caused further inclusions downstream. Current guidelines suggest a comprehensive CVA center be chosen for theThis patient would have a rescore of at least seven from the information above and would likely be suffering from a large special occlusion. This makes the transport to a comprehensive stroke center extremely critical so that GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER, 2024 Page 3/11 the patient can have access to interventional radiology and mechanical thrombectomy. This patient is most likely suffering from a LVO CVA. The TPA may be helpful, it may be unsuccessful in breaking up a larger clot. It may also cost smaller clots to break off the larger clot and caused further inclusions downstream. Current guidelines suggest a comprehensive CVA center be chosen for these types of strokes as they can receive mechanical thrombectomy under interventional radiology A person impacts a wall head first and then the head recoils back. This is an example of which of the following types of gravitational traumatic brain injuries? Newton force injury Rotational force injury Transitional force injury Transitional injury - Answer-Transitional injury This lobe of the brain controls behavior and emotional control, and is likely what has been damaged during a traumatic brain injury of the patient's personality changes? - Answer- Frontal Lobe With decerebrate posturing in a patient with a head inju