Subarachnoid Hemorrhage

Overview

4.3 out of 5 (3 Reviews)

Credits

2.00

Post Assesment Questions

30

Release Date

5 Oct 2020

Expiration Date

9 Aug 2022

Last Reviewed

9 Aug 2021

Estimated Time To Finish

120 Minutes

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Activity Description

Subarachnoid hemorrhages are life-threatening and result from the accumulation of blood between the arachnoid and pia mater. The incidence of subarachnoid hemorrhage in the United States is between 10 to 14 out of 100,000 individuals per year. Although presentations may vary, the characteristic presenting symptom is the thunderclap headache, which patients may describe as the “worst headache of my life.” This should prompt further imaging. The headache often is associated with nausea, vomiting, and diplopia. Quite often signs of meningismus are present due to the spread of blood into the fourth ventricle and further down the spinal cord, irritating nerves and causing neck and back pain. Cranial nerve deficits can occur. Practitioners should perform a detailed exam. The presence of focal deficit increases the grade of subarachnoid hemorrhage and changes the perspective of post-event recovery. Patients with a high-grade subarachnoid hemorrhage quite often present in a state of coma that calls for a quick evaluation and urgent treatment, as the coma can be reversible. In addition to subarachnoid hemorrhage patients may have a concurrent intraocular hemorrhage, known as Terson syndrome. When Terson syndrome is present, an ophthalmology service should be consulted to help with the care of the patient. Eighty percent of patients that develop Terson syndrome require regular follow up visits but do not require further intervention. This activity reviews the evaluation and management of subarachnoid hemorrhages and highlights the essential role of the interprofessional team in caring for those with this grave condition.

Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Explain when subarachnoid hemorrhage should be considered on differential diagnosis.
  • Review the exam findings expected in a patient with a subarachnoid hemorrhage.
  • Describe the management of a subarachnoid hemorrhage.
  • Explain the significance of cooperation between the interprofessional team members to enhance the delivery of care for those with subarachnoid hemorrhage.

Author(s) / Contributors Disclosure of Conflicts of Interest

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Contributors

Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Continuing Education Accreditation Information


 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 2.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

  • If you have content or system concerns, please contact support@statpearls.com, or call 727-289-9796.
  • If you have activity or credit concerns, please contact guy@campbell.edu, or call 910-893-7960.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

  • Name: 'SAH.jpg' Attribution: Contributed by Scott Dulebohn, MD
  • Name: 'Stroke_hemorrhagic.jpg' Attribution: Contributed by National Heart Lung and Blood Institute (NIH)
  • Name: 'CT-image-of-subarachnoid-haemorrhage-Non-contrast-CT-scan-of-brain-showing-subarachnoid.png' Attribution: Contributed from Liam Flynn and Peter JD Andrews (CC By S.A. 4.0 https://www.researchgate.net/figure/CT-image-of-subarachnoid-haemorrhage-Non-contrast-CT-scan-of-brain-showing-subarachnoid_fig1_283482604)

Reviews

Susana C. on 4/27/2021

The narrative material was short and offered little in the way of more complicated management (coiling vs. clipping and when, etc.)

Lars P. on 9/18/2021

John L. on 10/4/2021

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