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What should you do if a patient is fitting? When should the new prescriber get concerned and intervene? This chapter provides a step-by-step guide to managing the seizing patient, while emphasising the importance of a good history and appropriate investigations. The reader is also provided with an approach to managing status epilepticus.
While the neurosurgical patient is not normally one junior prescribers should be caring for in a nonspecialist area, they may encounter them in the acute setting while a referral is being made. Readers are provided with key information on the management of subarachnoid haemorrhage, including how to manage blood pressure, prevent vasospasm and rebleeding. Adjuncts to reduce the chances of secondary brain injury, including steroids, mannitol and anticonvulsants, are also discussed, while the importance of good quality analgesia is also emphasised.
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