ABEM Neurocritical Care case studies
ABEM Neurocritical Care · Put your knowledge to work in context.
Neurocritical Care is one of the subspecialty credentials administered within the American Board of Emergency Medicine (ABEM) certification framework. ABEM describes its certifications as assurance that emergency physicians have the knowledge and skills to deliver the highest quality care, and its site maintains a dedicated subspecialty pathway alongside primary emergency medicine certification. Candidates are emergency physicians who have pursued additional fellowship training and who intend to manage critically ill patients with primary neurologic injury: ischemic and hemorrhagic stroke, traumatic brain and spinal cord injury, status epilepticus and neuromuscular respiratory failure, and the systemic complications that accompany prolonged neurocritical illness. A defensible study plan mirrors that clinical spread - cerebrovascular disease and trauma first, because time-critical decisions dominate there, then seizures and neuromuscular disorders, neuromonitoring, neuroimaging and bedside procedures, and finally general critical care and neuroprognostication, which draw on everything else. The ABEM Neurocritical Care case studies are 5 cases and about 4,053 words.
1Wake-Up Stroke With a Large Vessel Occlusion on a Direct Oral Anticoagulant
A 72-year-old woman with atrial fibrillation on apixaban 5 mg twice daily (last dose 22:00) was last seen well at 21:30 the previous evening. She was found at 06:30 with dense right hemiparesis, global aphasia, and gaze deviation.
770 words, about 4 min2Refractory Intracranial Hypertension After a Frontal Contusion
A 34-year-old man, helmeted, in a motorcycle crash. GCS 5 at the scene; intubated.
818 words, about 4 min3Generalized Periodic Discharges After Convulsive Status Epilepticus
A 64-year-old woman with no prior epilepsy is brought in after 25 minutes of witnessed generalized tonic-clonic activity. She received lorazepam 2 mg IV twice (4 mg total) and levetiracetam 4.5 g IV over 15 minutes.
782 words, about 4 min4Failing External Ventricular Drain Clamp Trials in Aneurysmal Subarachnoid Hemorrhage
A 52-year-old woman with aneurysmal subarachnoid hemorrhage (Hunt-Hess 3, modified Fisher 4) from a ruptured 7 mm anterior communicating artery aneurysm, coiled on day 0. An EVD was placed for acute hydrocephalus.
804 words, about 4 min5Prognostication After Cardiac Arrest in a Patient With Acute Kidney Injury
A 66-year-old man with witnessed ventricular fibrillation arrest, bystander CPR, and ROSC after 22 minutes. STEMI treated with PCI.
879 words, about 4 min