Traumatic Intracranial Subarachnoid Hemorrhage
Conditions
Brief summary
Brain injuries are common and challenging problems faced by emergency physicians. These diagnoses may include traumatic intracerebral hemorrhage, subarachnoid hemorrhage, ruptured cerebral aneurysms, unruptured cerebral aneurysms, and arteriovenous malformations, which require neurological, neurosurgical, and/or endovascular treatment.
Detailed description
Brain injuries are common and challenging problems faced by emergency physicians. These diagnoses may include traumatic intracerebral hemorrhage, subarachnoid hemorrhage, ruptured cerebral aneurysms, unruptured cerebral aneurysms, and arteriovenous malformations, which require neurological, neurosurgical, and/or endovascular treatment. Depending on the indication and its severity, transfer to a comprehensive stroke center for access to advanced neuro-critical care may be necessary. Comprehensive stroke centers are widely supported and have the resources and infrastructure to have in-house expert stroke providers, teams, operating rooms, and interventional radiology suites that are always available.
Interventions
OTHERrate of appropriate and inappropriate transfers from Methodist interfacility transfers
Evaluating rate for patients experiencing traumatic intracranial subarachnoid hemorrhage or spontaneous bleeds
Sponsors
Methodist Health System
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients ≥18 years old * Diagnosed with traumatic intracranial subarachnoid hemorrhage or a spontaneous bleed * Patients originating at Methodist Mansfield medical center (MMMC) or Methodist Charlton medical center(MCMC)and subsequently transferred to Methodist Dallas medical center (MDMC)
Exclusion criteria
* Does not meet inclusion criteria defined in section 3.1
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To determine the historical rate of appropriate and inappropriate Methodist interfacility transfers for patients experiencing traumatic intracranial subarachnoid hemorrhage or spontaneous bleed. | 3 days | Implementation of screening protocols and standardization for interfacility transfers may help to reduce the incidence of unnecessary transfers. |
Countries
United States
Contacts
Primary ContactColette Ngo Ndjom, MS
Backup ContactBethany Brauer, MPH
Outcome results
None listed