Hospital Stroke Module

1
Hospital Stroke Module

• Scene C

2
Scene C, Act 1
EMR Description of how and why CT Angiograms
are done.
Protocol
EMR
Doctor Notes
Patient History
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• Perform CT angiogram
• 2. Determine course of treatment

Description/Actions Student clicks on Run CT
Angiogram and video pops up, showing a patient
having a CT angiogram scan. Move to Act 2.

• Run CT Angiogram

3
Scene C, Act 2
Electronic Medical Record Brain blood vessel
anatomy Information about clipping
aneurysms Information about coiling aneurysms
Protocol
Protocol
EMR
Patient History
Doctor Notes
Patient History
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• Perform CT angiogram
• 2. Determine course of treatment

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Description/Actions CT angiogram results show
that the patient has an aneurysm in the anterior
communicating artery. Student must choose to
either clip or coil the artery.

• Choose a course of treatment
• 1. Clip the aneurysm (Learn more about this
  procedure in the EMR)
• 2. Coil the aneurysm (Learn more about this
  procedure in the EMR)

4
Scene C, Act 3
Electronic Medical Record Video of emoblization
(coiling) process.
Protocol
EMR
Doctor Notes
Patient History
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• Perform embolization (coiling) on the aneurysm.
• 2. Send patient to ICU

Description/Actions A. Student clicks on coil
the aneurysm. B. Coiling procedure video or
simulation is shown.
Insert a coil into the aneurysm.
5
Scene C, Act 4
EMR HHH therapy Vasospasms (causes and
treatments)
Protocol
EMR
Doctor Notes
Patient History

• Perform embolization (coiling)
• on the aneurysm.
• 2. Send patient to ICU.

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Student clicks on Send patient to ICU
Coiling of aneurysm was successful. Send patient
to ICU with orders for HHH therapy and vasospasm
monitoring
6
EMR Scene C Act 1

• Description of how/why CT Angiograms are
  performed.
• 
  Return to ER

7
Dr. _______s Notes

• CT Angiogram shows aneurysm in the anterior
  communicating artery
• 
  Aneurysm in Anterior Communicating Artery
• Have decided to coil/embolyze the aneurysm due to
  the patients age and lack of invasiveness of
  this procedure.
• Return to ER

8
EMR Scene C, Act 2

• Brain Blood Vessel Anatomy
• Information about Clipping Aneurysms
• Information about Coiling Aneurysms
• Return
  to ER

9
Coiling Aneurysms

• 
  Return to ER

10
Clipping Aneurysms

• 
  Return to ER

11
EMR Scene B, Act 3

• Insert a coil into the aneurysm.
• Return
  to ER

12
Dr. _____s Notes

• Aneurysm successfully coiled.
• Sent patient to ICU for recovery. Ordered HHH
  therapy and monitoring for vasospasms.

13
Congratulations!

• You have successfully treated Mr. Jones within
  the necessary 3 hour time window! If you have
  scored a ___ or higher, you are still in the
  running to become Chief of Staff great job! If
  you have scored lower than a ___, perhaps the
  next stroke patient to come through the doors of
  St. Normal Hospital will have better results.
  Also, please realize that Mr. Jones journey is
  not over. He will have a 10-14 day stay in the
  ICU (where the rate of mortality from strokes is
  very high 2-12 days following the initial stroke)
  and then undergo physical therapy.

14
EMR Scene C Act 4

• HHH Therapy
• Vasospasms

15
Clip the Aneurysm

• This procedure is highly invasive and should only
  be done when the aneurysm is located close to the
  surface of the brain and on younger patients.
  Please think carefully before proceeding with
  this procedure on this patient.
• Return to Patient

16
Coil the Aneurysm

• Correct! This procedure is much less invasive and
  a better choice for this patient. Go forward with
  your treatment of this patient.
• Return to
  patient