Member May 2024: Critical Care Issues for Neuro-Rehabilitation Providers: Problems Commonly Encountered While Providing Consults for Patients in the ICU after Brain Injury, Stroke, and Spinal Cord Injury (1.25 CME)-Member May: Critical Care Issues for Neuro-Rehabilitation Providers: Problems Commonly Encountered While Providing Consults for Patients in the ICU after Brain Injury, Stroke, and Spinal Cord Injury (1.25 CME)

Member May: Critical Care Issues for Neuro-Rehabilitation Providers: Problems Commonly Encountered While Providing Consults for Patients in the ICU after Brain Injury, Stroke, and Spinal Cord Injury (1.25 CME)

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Video Transcription

Video Summary

In a discussion by neurorehabilitation physiatrists, challenges in managing ICU patients with brain injuries, spinal cord injuries, and strokes were addressed. Key topics included early mobility, management of hypertonia, seizures, and agitation, as well as procedures like trach and PEG placement. Considerations for spinal cord injuries, including the use of steroids and maintaining blood pressure to prevent secondary injuries, were elaborated. The importance of tailored care and vigilance in dealing with issues like neurogenic shock and spinal shock was emphasized to optimize patient outcomes. Strategies for early intervention and treatment within the first seven days, medication usage, fluid management, and collaboration within ICU teams were key points of discussion. The lack of conclusive data for neuroprotective agents in spinal cord injury management was noted, along with special considerations for cardiac, pulmonary, GI, and GU implications in acute spinal cord injury cases. The role of regular ASIA examinations for spinal cord injury patients, preferred medications for agitation, DVT prophylaxis in traumatic brain injuries, and challenges in determining anticoagulation therapy duration were also covered in the video. The aim of the discussion was to enhance care and outcomes for patients with complex neurological conditions by analyzing clinical scenarios and interventions.

Keywords

neurorehabilitation physiatrists

ICU patients

brain injuries

spinal cord injuries

strokes

early mobility

hypertonia management

seizures

agitation management

trach placement

PEG placement

spinal shock