Neurologic Emergencies

Question 1

Anterior Cord Senses

Answer 1

Pain and temperature

Question 2

Posterior Cord

Answer 2

Position, motion, and vibration

Question 3

Brown-Sequard Syndrome

Answer 3

Ipsilateral motor, vibration, proprioception loss
Contralateral pain/temp loss
(Ipsilateral: same side of the body)

Question 4

SDH vs EDH

Answer 4

E (e-eye) pidural hematoma - lens shape.
SDH - crescent shape

Question 5

Depolarizing agent contraindicated in Guillian-Barré

Answer 5

Succinylcholine - allows for widespread depolarization and extensive K+ release. Profound hyperkalemia leading to cardiac dysthymias and arrest.

Question 6

Reduce MAP by no more than ….% and …..% in the first 24*

Answer 6

15-20%

Question 7

Neurogenic shock

Answer 7

Hypotension w/ low or regular HR’s

Question 8

Oculocephalic reflex tests which cranial nerves?

Answer 8

III, VI, VIII. Eyes will deviate opposite the movement of the head.

Question 9

How should a PT in neurogenic shock be positioned for transport?

Answer 9

Supine to compensate for vasodilation