smacc 2014 presentation
DESCRIPTION
Slides for my SMACC Gold presentation.TRANSCRIPT
![Page 1: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/1.jpg)
Who am I?
![Page 2: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/2.jpg)
EmergencyMedicineIreland.com
Come and work •Ultrasound/imaging•Education•Trauma
![Page 3: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/3.jpg)
neuroanatomy for the critically illIm
age
Cre
dit:
brai
n_bl
ogge
r on
Flic
kr
![Page 4: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/4.jpg)
EmergencyMedicineIreland.comImag
e C
redi
t: A
dam
Ven
tres
s ht
tp://
ww
w.a
dam
vent
ress
.com
/w
ords
/illu
stra
tion
Brai
n H
erni
atio
n
![Page 5: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/5.jpg)
EmergencyMedicineIreland.com
SubFalcineTransTentorialTonsillar
1
2
3
Image Credit: Wikipedia
![Page 6: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/6.jpg)
EmergencyMedicineIreland.com
1. SubFalcine Herniation
![Page 7: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/7.jpg)
EmergencyMedicineIreland.com
Middle Cerebral Artery
Anterior Cerebral Artery
Posterior Cerebral Artery
![Page 8: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/8.jpg)
EmergencyMedicineIreland.com
2. TransTentorial Herniation
![Page 9: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/9.jpg)
EmergencyMedicineIreland.com
Oculomotor Nv
Descending Motor Tracts
2. TransTentorial Herniation
![Page 10: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/10.jpg)
EmergencyMedicineIreland.com
Med
ulla
Pons
Chiari Malformatio
Tonsillar HerniationConing
3. Tonsillar Herniation
![Page 11: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/11.jpg)
EmergencyMedicineIreland.com
Hyd
roce
phal
us
![Page 12: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/12.jpg)
EmergencyMedicineIreland.com
![Page 13: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/13.jpg)
EmergencyMedicineIreland.com
![Page 14: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/14.jpg)
EmergencyMedicineIreland.com
The only way in and out of the ventricular system is through the 4thMedian
Aperture
Lat Aperture
![Page 15: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/15.jpg)
EmergencyMedicineIreland.comImag
e C
redi
t: Ps
uedo
1Int
elle
ctua
l on
YouT
ube
http
://w
ww
.you
tube
.com
/wat
ch?
v=JC
f273
U0k
tc&
feat
ure=
rela
ted
![Page 16: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/16.jpg)
EmergencyMedicineIreland.com
BLOOD
Sup Sag Sinus
Arachnoid Granulation
Why the hydrocephalus?
![Page 17: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/17.jpg)
EmergencyMedicineIreland.comImag
e C
redi
t: R
adio
logy
Sig
ns
http
://ra
diol
ogys
igns
.tum
blr.c
om/
post
/786
0693
5342
/is-t
his-
subd
ural
-or-
extr
adur
al-b
lood
-it-
isnt
Suture
EDH v SDH
![Page 18: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/18.jpg)
EmergencyMedicineIreland.com
![Page 19: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/19.jpg)
EmergencyMedicineIreland.com
spine
![Page 20: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/20.jpg)
EmergencyMedicineIreland.com
Three Columns in Spinal Injury
Ant
erio
r
Mid
dle
Post
erio
r
![Page 21: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/21.jpg)
EmergencyMedicineIreland.com
Imag
e C
redi
t: R
ober
to S
chub
ert
on R
adio
paed
iaht
tp://
radi
opae
dia.
org/
case
s/th
ree-
colu
mn-
conc
ept-
of-t
he-s
pine
Anterior Middle Posterior
![Page 22: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/22.jpg)
EmergencyMedicineIreland.com
Ant
erio
r Lo
ngit
udin
al L
igam
ent
Post
erio
r Lo
ngit
udin
al L
igam
ent
Liga
men
tum
Fla
va
![Page 23: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/23.jpg)
EmergencyMedicineIreland.com
Flexion TearDrop Fracture
2 Column Injury
![Page 24: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/24.jpg)
EmergencyMedicineIreland.com
vascular supply
![Page 25: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/25.jpg)
EmergencyMedicineIreland.com
Imag
e: R
adsw
iki.n
et
47 year old male•low speed RTA 2 days ago•no injuries of note apart from mild neck pain•now dramatic neck pain and bilateral neuro signs
Vertebral Artery Dissection
![Page 26: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/26.jpg)
EmergencyMedicineIreland.comradiopaedia.org
CC License
![Page 27: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/27.jpg)
EmergencyMedicineIreland.com
![Page 28: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/28.jpg)
EmergencyMedicineIreland.comAtlas (C1 Vertebra)
Vertebral Artery
![Page 29: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/29.jpg)
EmergencyMedicineIreland.com
Intra-Cranial
Extra-Cranial
![Page 30: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/30.jpg)
EmergencyMedicineIreland.com
Elastica Externa
Sub Arachnoid Space
![Page 31: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/31.jpg)
EmergencyMedicineIreland.com
![Page 32: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/32.jpg)
EmergencyMedicineIreland.com
things you read on CT reports but don’t know
what they mean...
![Page 33: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/33.jpg)
EmergencyMedicineIreland.com
Radiology Report: J Bloggs
There is a large acute SDH and
the basal cisterns are effaced.
Clinical correlation advised...
Happy to discuss... when not browsing BMW magazines...
![Page 34: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/34.jpg)
EmergencyMedicineIreland.com
![Page 35: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/35.jpg)
EmergencyMedicineIreland.com
![Page 36: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/36.jpg)
EmergencyMedicineIreland.com
![Page 37: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/37.jpg)
EmergencyMedicineIreland.com
Radiology Report: J Bloggs
There is an area of hyperattenuation
in the region of the basal ganglia. It
extends into the internal capsule. The
basal cisterns are patent.
Imag
e C
redi
t: Fr
ank
Gai
llard
on
Rad
iopa
edia
ht
tp://
radi
opae
dia.
org/
case
s/ba
sal-g
angl
ia-
haem
orrh
age-
ct
![Page 38: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/38.jpg)
EmergencyMedicineIreland.com
Motor Cortex
Nerve Root
Posterior Limb
Anterior Limb
The Internal Capsule
![Page 39: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/39.jpg)
EmergencyMedicineIreland.com
Striate Arteries
![Page 40: SMACC 2014 presentation](https://reader033.vdocuments.us/reader033/viewer/2022052301/559433351a28ab851a8b459d/html5/thumbnails/40.jpg)
EmergencyMedicineIreland.com
Resources