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UPDATE in OP: Question for OT Docs -- ER or otherwise is great
Posted on 1/22/18 at 5:07 pm
Posted on 1/22/18 at 5:07 pm
Can you really not move people due to brain swelling?? Like not even for testing to see what may be causing it?? Person is hospitalized and in a drug induced coma on a vent. I'm just so totally curious. This is real life I promise.
*** UPDATE this sweet child has died.
*** UPDATE this sweet child has died.
This post was edited on 1/23/18 at 1:21 pm
8
Posted on 1/22/18 at 5:08 pm to tiger91
No
Posted on 1/22/18 at 5:11 pm to tiger91
quote:What do you mean?
Can you really not move people due to brain swelling?? Like not even for testing to see what may be causing it??
You can definitely “move” them to perform imaging and such, but what are you referencing?
quote:Assuming the swelling was secondary to trauma?
Person is hospitalized and in a drug induced coma on a vent.
That isn’t an abnormal action for the physician to take. Intubate and sedate is probably the correct course.
This post was edited on 1/22/18 at 5:13 pm
Posted on 1/22/18 at 5:18 pm to Scruffy
No trauma from what I've "heard" and yes I mean for testing and stuff. I think I'd be "elsewhere" or trying for other opinions -- a week is a long time to have no answers.
The message we're getting is that he can't be moved ... for CT scans, MRI, nothing.
And what kinds of things can cause swelling like that if not trauma?? Bacterial?? I'm just beyond interested.
The message we're getting is that he can't be moved ... for CT scans, MRI, nothing.
And what kinds of things can cause swelling like that if not trauma?? Bacterial?? I'm just beyond interested.
This post was edited on 1/22/18 at 5:20 pm
Posted on 1/22/18 at 5:18 pm to tiger91
If they aren't stable, they likely won't get you a scan unfortunately.
Further complicates it if they're vented and very unstable, coding on CT is a clusterfrick every time.
Further complicates it if they're vented and very unstable, coding on CT is a clusterfrick every time.
This post was edited on 1/22/18 at 5:44 pm
Posted on 1/22/18 at 5:20 pm to tiger91
So, they’ve done no tests or imaging in a week?
Posted on 1/22/18 at 5:21 pm to Scruffy
Not from what I've heard and I inquired today .. bloodwork maybe? But no scans .. they're still waiting for biopsies to come back.
This post was edited on 1/22/18 at 5:22 pm
Posted on 1/22/18 at 5:23 pm to tiger91
quote:Must be incredibly unstable.
The message we're getting is that he can't be moved ... for CT scans, MRI, nothing.
I can say nothing in particular for this case since I know nothing, but cerebral edema (brain swelling) and intubation aren’t reasons to do nothing unless the individual would potentially code during the process.
As I said, the individual in question must be very unstable.
This post was edited on 1/22/18 at 5:28 pm
Posted on 1/22/18 at 5:25 pm to tiger91
someone you know get in a fight at reggies over the weekend?
Posted on 1/22/18 at 5:27 pm to Scruffy
quote:
Must be incredibly unstable.
This. I can remember seeing the PICU nurses bagging vented kids down the hallway as they rolled their bed down for imaging.
Posted on 1/22/18 at 5:29 pm to tiger91
Take them to a vets office with a smaller ct similar to an ultrasound with a wand and they can map that out for you.
Posted on 1/22/18 at 5:32 pm to lsunurse
Nurse have you ever had cases with brain swelling without trauma?? I'm no doctor or nurse and I know things sometimes just happen but what in the world could cause this??
Posted on 1/22/18 at 5:32 pm to tiger91
Yeah must be pretty unstable if they won't even move for imaging currently. Like very unstable icps(intracranial pressures) with concern for imminent herniation.
Or they don't feel that imaging would be helpful...i.e. don't expect a CT scan to show something, and an MRI would take to long to be done.
Or they don't feel that imaging would be helpful...i.e. don't expect a CT scan to show something, and an MRI would take to long to be done.
Posted on 1/22/18 at 5:34 pm to Scruffy
quote:
I can say nothing in particular for this case since I know nothing, but cerebral edema (brain swelling) and intubation aren’t reasons to do nothing unless the individual would potentially code during the process.
As I said, the individual in question must be very unstable.
You’re slipping
Posted on 1/22/18 at 5:34 pm to tiger91
quote:
cases with brain swelling without trauma?
Yeah can be lots of potential causes without trauma
Encephalitis, meningitis, stroke, tumors just to name a few
Posted on 1/22/18 at 5:35 pm to tiger91
Causes are everything from trauma to infection, stroke, and cancer.
All frightening words, but who knows.
All frightening words, but who knows.
Posted on 1/22/18 at 5:35 pm to Ash Williams
quote:
You’re slipping
Guideline, not a rule.
Posted on 1/22/18 at 5:36 pm to htran90
Intubated patients get CTs and MRIs all the time
Posted on 1/22/18 at 5:36 pm to Puffoluffagus
But encephalitis and meningitis - couldn't those be ruled out with bloodwork? And they thought there was a tumor per initial scan (MRI I think??) but when they went to biopsy it wasn't a tumor but two samples were taken and sent to St. Jude's and the other to somewhere in Texas.
This post was edited on 1/22/18 at 5:37 pm
Posted on 1/22/18 at 5:36 pm to tiger91
quote:
Nurse have you ever had cases with brain swelling without trauma??
Already been posted. Meningitis, encephalitis, stroke, etc.
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