Hospital Stroke Module

1
Hospital Stroke Module

• Scene B

2
Scene B, Act 1
Help/Reference Materials How a CT scan works
Protocol
EMR
Doctor Notes
Patient History
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1. Run Ct Scan
2. Confirm primary diagnosis

• Description/Actions
• Student clicks on Scan button
• Patient enters CT machine
• Switch to Act 2

• Run Ct Scan

3
Scene B, Act 2
Help/Reference Materials CT scan of nSAH
stroke How to read a CT scan Normal brain CT
Protocol
Protocol
EMR
Patient History
Doctor Notes
Patient History
M

• Run Ct Scan
• 2. Confirm primary diagnosis

jjlkjkjlkjkjkj

• Description/Actions
• CT results appear on computer along with
  diagnostic options
• If student chooses SAH stroke, move to Act 3
• If student choose nSAH stroke, a window should
  appear showing what a CT scan of an nSAH stroke
  looks like

• Diagnosis
• A. Subarachnoid Hemorrhagic (SAH) stroke
• B. Non-subarchnoid Hemorrhagic (nSAH) stroke

4
Scene B, Act 3
Help/Reference Materials Causes of hemorrhagic
strokes and the corresponding treatments.
Protocol
EMR
Doctor Notes
Patient History
jjlkjkjlkjkjkj

1. Run Ct Scan
2. Confirm primary diagnosis
3. Determine what is causing the bleed (VMT)

• Actions
• Student determines probably cause of hemorrhage
  by reading about causes of SAH stroke in VMT.
• Student chooses desired course of action.

• What is causing this
• brain hemorrhage?
• Based on your research, will you
• Send the patient for neurosurgery?
• Order a second diagnostic test?

5
Scene B, Act 4
Help/Reference Materials Definitions/examples of
MRI, PET scans and CT angiograms with their
commons uses.
Protocol
EMR
Doctor Notes
Patient History
jjlkjkjlkjkjkj

1. Run Ct Scan
2. Confirm primary diagnosis
3. Determine what is causing the bleed (VMT)
4. Order a second diagnostic test

• Actions
• Student chooses desired test to find aneurysm.
• If chooses correctly, moves to Scene C

• Secondary test options
• MRI
• PET scan
• CT angiogram

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Dr. _______s Notes

• Ordered CT Scan
• Faster
• Can find bleed in brain
• Less expensive
• Return to ER

7
How a CT Scan Works

• 
  Return to ER

8
Dr. _______s Notes

• Ordered CT Scan faster, can find bleed in brain,
  less expensive
• Subarachnoid hemorrhagic (SAH) stroke diagnosed
• Return to ER

Bleeding
9
EMR Scene B, Act 2

• CT scan of nSAH stroke
• CT scan of SAH stroke
• How to read a CT scan
• Normal brain CT
• Descriptions of nSAH and SAH strokes

10
SAH stroke
Bleeding

• Correct! The bright white areas indicate a bleed
  in the subarachnoid space. Great job Dr _______!
  Proceed!
• Return to ER

11
nSAH Stroke

• CT scan of nSAH stroke
• Does your patients CT scan match this one? Try
  again!

• Your patients CT scan
• Return to ER

12
EMR Scene B, Act 3

• Causes of SAH hemorrhagic strokes and their
  treatments
• 
  Return to ER

13
Neurosurger for Mr. Jones?

• Sorry, Mr. Joness SAH stroke if probably due to
  an aneurysm since there is no recent trauma in
  his medical history. Therefore, surgery is not a
  good choice for him. Try again!
• Return to
  the ER

14
A second test for Mr. Jones?

• Correct! Mr. Joness SAH stroke if probably due
  to an aneurysm since there is no recent trauma in
  his medical history.
• Now, you must determine the best test for to find
  Mr. Joness aneurysm. Hurry, the clock is
  ticking!
• Return to
  the ER

15
Dr. Notes Act 3

• SAH stroke is probably due to an aneurysm since
  there is no trauma in Mr. Jones recent patient
  history

16
EMR Scene B, Act 4

• Definitions/examples of MRI w/common uses
• Definitions/examples of PET scan w/common uses
• Definitions/examples of CT angiogram w/common
  uses
• Return to ER

17
CT Angiogram for Mr. Jones?

• Correct! A CT Angiogram will allow you to find
  the location of the suspected angiogram. Proceed
  to the CT Angiogram room!

18
An MRI for Mr. Jones?

• This patients symptoms started over an hour ago
  and an MRI will take 45-60 minutes. This may not
  leave you enough time for treatment. Try again!

19
A PET scan for Mr. Jones?

• PET scans are normally used to show brain
  functioning, not cardiovascular anatomy. Try
  again!

20
Dr. ________s Notes

• CT angiogram ordered in order to determine the
  location of the aneurysm. MRI rejected due to
  time issues and PET scan rejected because it
  would show brain functioning, not brain anatomy.