Stroke Module

1
Stroke Module

• Scene B CT Scan

2
Scene B Introduction
Mr. Jones has been prepped and readied for his CT
scan to see if his headache is being caused by
bleeding in the brain. Please proceed to the CT
scan room to begin this test.
3
Scene B 1 CT Scan
Protocol 1. Adjust height of gurney so the
bottom of the gurney is level with the inner CT
circle.  
Dr.s Notes
EMR
Patient History
Protocol
4
Scene B 2 CT Scan
Protocol 2. Adjust the patients gurney forward
until the base of the patients skull is on the
far side of the inner CT circle. 
Dr.s Notes
EMR
Patient History
Protocol
5
Scene B 3 CT Scan
Protocol 3. Go into the CT control room.
Dr.s Notes
EMR
Patient History
Protocol
6
Scene B4
Scan Options Circle of Willis Scan
Parameters Routine Head Scan
Parameters Sinus Supine Scan
Parameters
4. Select the Routine Head Scan Parameters
option.
Dr.s Notes
Patient History
EMR
Protocol
7
Scene B5

5. Run the CT scan
Run Scan
Dr.s Notes
Patient History
EMR
Protocol
8
Scene B 6

6. Locate the suspected bleed on the CT scan
results
CT Scan Results
Dr.s Notes
Patient History
EMR
Protocol
9
Scene B 6

Diagnostic Test Options MRI Scan PET
Scan CT Angiogram
7. Order your next diagnostic test.
CT Scan Results
Subarachnoid Hemorrhage
Dr.s Notes
Patient History
EMR
Protocol
10
Scene B Conclusion
Dr. _______,Great job! Mr. Jones is certainly
benefiting from your expertise and hard work. Mr.
Jones will be waiting for you in the CT angiogram
room.
11
Cat Scan Results
Bleeding
Bone

• The bright white areas in the brain indicate bone
  and blood. The grey areas are brain tissue. As
  you can see in this scan, there is bleeding in
  Mr. Jones brain. This is known as a hemorrhagic
  stroke. Given the location, this would be
  classified as a subarachnoid hemorrhagic stroke
  (SAH stroke). SAH strokes are normally caused by
  either trauma to the head or an aneurysm. Since
  there is record of trauma in Mr. Jones patient
  history, you need to run another diagnostic test
  to see if there is an aneurysm.

12
Dr. _______s Notes (Scene B)

• Subarachnoid hemorrhagic (SAH) stroke diagnosed
• SAH stroke is probably due to an aneurysm since
  there is no trauma in Mr. Jones recent patient
  history
• CT angiogram ordered to located suspected
  aneurysm
• Return to ER

Bleeding