Aneurysmal SAH delayed deterioration
Educational use only. Not clinically reviewed56-year-old woman for calm delayed neurological deterioration review after aneurysmal subarachnoid hemorrhage, qualified escalation, and active-risk handoff. About 8 simulated minutes.
What you will practise
- Reconcile the aSAH day, secured-aneurysm record, new deficit clock, physiology, and whole-patient state.
- Review the supplied rebleeding, hydrocephalus, seizure, metabolic, vascular, and perfusion evidence.
- Recognize possible delayed cerebral ischemia without equating imaging vasospasm with DCI.
- Activate qualified neurocritical, neurovascular, and rescue-capable ownership.
- At a strict later report, compare neurological, airway, perfusion, imaging, and EEG snapshots.
- After another elapsed interval, hand off possible DCI, aneurysm, recurrence, alternatives, and active risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Hoh BL, Ko NU, Amin-Hanjani S, et al. 2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage. Stroke. 2023;54:e314-e370. doi:10.1161/STR.0000000000000436.
- Vergouwen MDI, Vermeulen M, van Gijn J, et al. Definition of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage as an outcome event in clinical trials and observational studies. Stroke. 2010;41:2391-2395. doi:10.1161/STROKEAHA.110.589275.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.