为了获取更好的使用体验,丁香公开课推荐使用 Chrome 或 Firefox 浏览器

如果您使用 IE 浏览器,推荐使用 IE11 版本

Ashley Strobel 丁香诊所 美国马里兰大学

美国马里兰大学视频 / 时长62分钟

丁香诊所全科培训课程 07:脑震荡的诊断与用药

¥12.00

  • 此课程购买后可永久观看
  • 已有 33 人购买
加载中...
  • 课程简介
  • 全部评论

课程介绍

脑震荡是导致精神状态改变的脑部创伤,为一种功能性诊断,CT、MRI 可能正常,只有头痛、恶心等,与意识丧失无关。二次冲击综合征除有恶心、头痛外还会导致轴突损伤从而导致死亡或者永久性神经损害。

脑震荡症状包括头痛、眩晕、呕吐、易激惹等。检查包括询问患者当时的情况、姿势保持的稳定性、步态和颈椎、神经检查。加拿大法则 GCS 由三部分组成,包括睁眼、运动、说话,目标值是 15,若 GCS<15 或大于 2 次呕吐、有黑眼圈、耳鼻出血、失忆、年龄大于 65 岁需要做 CT 检查,若没有以上症状且不符新奥尔良 CT 检查资格可以送病人回家。只要怀疑病人是脑震荡,则需停止学习和工作来休息,直到逐步完全恢复。

头痛患者可给予泰诺或 NSAIDs(可能导致晚期出血),恶心可以服用枢复宁或甲哌氯丙嗪,当有睡眠问题时可给予抗抑郁药。目前尚无合适的预防方法。

在丁香诊所「全科医生强化培训班」中,来自美国马里兰大学的急诊和儿科医学讲师 Ashley Strobel 与大家一起分享《脑震荡》。

更多精彩内容请点击此处观看丁香公开课全部课程。

封面图片来源:shutterstock 网站

展开全部

Ashley Strobel 丁香诊所 美国马里兰大学

Ashley M. Strobel, 美国马里兰大学急诊和儿科医学讲师。MD, University of Maryland Upper Chesapeake Health


Postgraduate Education and Training:
2010‒2015 Combined Emergency Medicine and Pediatrics Residency
University of Maryland Medical Center
Baltimore, Maryland

2014-2015 Chief Resident
Combined Emergency Medicine and Pediatrics Residency

Education:
2006‒2010 Doctor of Medicine (magna cum laude)
St. George’s University School of Medicine
Grenada, West Indies

2001‒2005 Bachelor of Science (majors: Spanish and Biology)
University of Wisconsin-Madison
Madison, Wisconsin


Foreign Language: Fluent in Spanish

Certifications:
March 28, 2014 Neonatal Resuscitation Program
August 13, 2014 Pediatric Advanced Life Support
September 3, 2014 Basic Life Support
July 17, 2015 Advanced Cardiac Life Support
April 22, 2010 ECFMG Certification


Medical Licensures:
2015 Maryland (active)
2015 Minnesota (pending)

Clinical Employment History:
2015 – present Assistant Professor, Department of Emergency Medicine
Director of Pediatric Emergency Medical Education
Hennepin County Medical Center and University of Minnesota Masonic Children’s Hospital
Minneapolis, MN

2015- present Pediatric Emergency Medicine Physician
University of Maryland Upper Chesapeake Health
Bel Air, MD


Other Employment History
April 2010‒present Interviewer and Representative, Interview Committee,
St. George’s University


Professional Memberships:
2010‒2015 Emergency Medicine Residents Association (EMRA)
2010-2015 American College of Emergency Physicians (ACEP)
2010-2015 American Academy of Pediatrics (AAP)
2010-2015 American Academy of Emergency Medicine (AAEM)
2013‒2015 American Medical Society for Sports Medicine (AMSSM)

Honors and Awards:
2015 University of Maryland Department of Pediatrics, Carol Carraccio Service Award
2010 Gold Humanism Honor Society, St. George’s University
2010 Magna Cum Laude, St. George’s University
2007‒2010 Iota Epsilon Alpha Honors Society, St. George’s University

Institutional Service:
2014-2015 EM-Pediatrics Residency Curriculum Development
March 2014 ED Optimization QI Project, Cannon Design, University of Maryland Medical Center
September 2011 Medical Team, Baltimore Grand Prix, with Dr. Benjamin Lawner and Dr. Wade Gaasch

National Service:
2015-2016 Chair, Pediatric Emergency Medicine Division, Emergency Medicine Residents Association
2014‒2015 Pediatric Section Editor, EMResident
2013‒2015 Vice Chair, Pediatric Emergency Medicine Division, Emergency Medicine Residents Association

Teaching Service:
Invited Lectures
July 8, 2015「High Yield Pediatric Orthopedic Emergencies」, University of
Maryland Emergency Medicine Pediatrics Grand Rounds [CME].

Lectures:
January 2012「From the Rock to Charm City,」IEA Honors Society Lecture, St. George’s University, Grenada, West Indies
February 2013「Neonatal Seizures Secondary to Transient Hypoparathyroidism: A Review of Neonatal Seizure,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
March 2013 Instructor, EMT-1 Cadaver Airway Course, Community College of Baltimore Country, Baltimore MD
June 2013「Pediatric Electrocardiograms: The Math and the Mystery,」Junior Lecture, Emergency Medicine Residency, Pediatric Emergencies Conference, University of Maryland Medical Center
July 2013 Instructor, Emergency Medicine Student Cadaver Lab, University of Maryland School of Medicine, Baltimore, MD
March 2014「Here’s Looking at You, Kid: Pediatric Ophthalmologic Emergencies」Senior Lecture Conference, Emergency Medicine Residency, University of Maryland Medical Center
May 2014「Anaphylaxis: Pediatric versus Adult,」Division of Pediatric Allergy and Immunology Elective, University of Maryland Medical Center
September 2014「Hematuria: A Case of Adenovirus Cystitis,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
October 2014「Fever and Abdominal Pain Presenting as Right Tibial Osteomyelitis: A Review of Osteomyelitis,」Hotbox Case Presentation, Department of Pediatrics, University of Maryland Medical Center
February 2015「Picking out a Cardiac Infant in the ED: MISSION IMPOSSIBLE?」Senior Presentation, Department of Emergency Medicine, University of Maryland Medical Center

Simulation Education Sessions, Instructor, Pediatric Residency:
May 2013 Pediatric Supraventricular Tachycardia
July 2014 Pediatric Lumbar Puncture and Intraosseous Access Skills
July 2014 Laceration, Bite, and Abscess I&D Skills
August 2014 Pediatric Respiratory Distress: Part I
August 2014 Pediatric Respiratory Distress: Part II
August 2014 Intravenous Access and Phlebotomy Skills
August 2014 Laceration Repair and Abscess I&D Skills
January 2015 Airway, Laceration, and LP Refresher Skills Lab
January 2015 Pediatric Supraventricular Tachycardia
February 2015 Pediatric Septic Shock
February 2015 Pediatric Nursing Intravenous Access and Phlebotomy Skills
更多

网友讨论