Upon my arrival, I was approached by a preacher who advised me the gentlemen that passed away, Darren Allen Veatch, who was later identified, is up stairs in his bed room. I then walked up stairs observing two bed rooms, one on the south side of the residence and one on the north side. I approached the bedroom on the north side of the residence observing a brown in color blanket covering the bed room. I pulled the blanket back observing Darren Veatch lying face down with his head facing towards the east wall. I then observed levity on Darren Veatch legs, stomach, chest and facial region. ETMC EMS
When an artery in the brain is block (ie; TIA) open collateral vessels can allow blood to
Scene Description: This incident occurred inside of the residential property at 34064 Avocado Dr. This property sits on the west side of Avocado Dr, facing south. This property is in a mobile home park in Sunset Palms. The room where the deceased was located in was the west side of the mobile home in the back. The deceased was propped up against nightstand on the left side of the bed ground, stretch out on the floor. See photographs for details
On 7/6/2015 S/O EMT Perez was dispatched to WC-407 regaurding a pendant alarm. S/O EMT Perez knocked and annoounced his presence at the door, when there was no answer S/O EMT Perez proceeded to search the apartment. S/O EMT Perez found the resident, a Mrs. Mary Beiter toppled over her walker by her bedside. Mrs. Mary Beiter was trying to get inter her bed when she lost balance and fell and could not get up under her own strength. Mrs.Beiter did not complain of any hip pain during the pelvic exam but did state that she has a bad knee and hip that makes it rather hard to stand on her own. S/O EMT Perez asked Mrs.Beiter if she wanted to be transported to the hospital before he picked her up which she declined. S/O EMT Perez performed a lift assist
Cerebrovascular accidents, or strokes, will lead to brain damage that affects the functioning of executive function, memory, language, visuospatial performance and emotional states. Corresponding vertebral arteries and carotid arteries provide blood to the brain from the heart that the carotid arteries are internal and external sections of the thyroid cartilage. Where the optic nerve rests the internal artery distributes into the anterior and middle cerebral arteries. The vertebral arteries arise through the spinal vertebrae and meet the lower pons to form the basilar artery. The brain receives 15% to 20% of the oxygenated blood from the heart and can only endure fleeting interruptions of blood flow before neural operations
Strokes are caused by pathophysiological changes. The two major mechanisms of stroke consist of ischemia and haemorrhage. Ischemia is when there is no oxygen or not, merely enough oxygen to fuel the tissue level in the body. Haemorrhage in the brain, causing strokes can be due to non-traumatic intracerebral haemorrhage (Shah, MD, n.d.) (see appendix 1). This essay will further discuss the implications of strokes on a cellular, organ and system level. Explain the clinical presentation of the signs and symptoms of strokes and how the condition will be managed by a paramedic.
There are two major branches of strokes: those caused by narrowing or blockage of the arteries leading towards the brain, and those caused by blood vessel leaking or rupturing in the brain. Ischemic strokes account for approximately 87% of Stroke cases, which reduces the blood flow to the brain. About half of the Ischemic strokes are caused by clotting in small or large arteries, a smaller portion are caused by
Correspondingly, there are two pathways that transports blood to the brain called internal carotid artery and vertebral artery. The internal carotid artery has three layers call the tunica adventitia, tunica media, and tunica intima. Tunica intima is made up of smooth muscle cells and elastin. The basilar artery forms and it branches out to the posterior cerebral arteries. The posterior cerebral arteries form the internal carotid arteries and when they connect they make cerebral arterial circle ( circle of willis). The middle cerebral arteries branch out two separate arteries called the anterior cerebral arteries. Each of these arteries are the force that direct the blood flow to the brain. There are three tiny vascular systems that work together to profuse the deep brain. Which are the pial, subependymal, and lenticulostriate arteries. The small area of white matter that depends on blood flow is called the subcortical “shed water” area. The subcortical is more prone than other areas of the brain to have ischemia. The leading cause of ischemia is the fibrin builds up and this cause a narrowing of the lumen. Which does not allow the flow of red blood cells and deprives the white matter of tissue of oxygen. The tissue then losses density and produces white matter lesions. The neurons become demyelinated which leads to loss of cognitive ability.
It is “a sudden loss of function resulting from disruption of the blood supply to a part of a brain” (Hincle & Cheever, 2014). The type of stroke Patient S experienced was assumed to be from hyperlipidemia. An atherosclerotic plaque can form in the large blood vessels in the brain. When the plaque become big enough, it can rupture or a small bit may break off and flow into small arteries, which may block the smaller artery. If the artery is occluded, blood cannot flow to certain parts of the brain and an ischemic stroke can occur. Hypertension is a major risk for strokes as well as atrial fibrillation. These diseases increase the risk of an emboli or plaque
A stroke is a condition which is characterised as loss of brain functioning due to an interruption in the blood flow to the brain (Buzzard, 2013, pg. 5). There are two types of strokes, ischaemic and hemorrhagic strokes (Buzzard, 2013, pg. 6). Ischaemic strokes are the most common type of stroke (Gomes & Wachsman, 2013). This type of stroke occurs due to an insufficient flow of blood to the brain, which is usually caused by an artery blockage (Gomes & Wachsman, 2013). Hemorrhagic strokes are due to hypertension and may be caused by medical problems or blood vessel abnormalities (Gomes & Wachsman, 2013). The strokes severity and location of the brain that is affected determines the impact of the stroke in an individual (Gomes & Wachsman, 2013).(Gomes, 2013)
The topic assigned to me for the health paper is cerebrovascular disease, which is a stroke. Cerebrovascular is really two words combined. Cerebro is the largest part in the brain and vascular is termed as veins and arteries. From those two terms, one can interpret that this disease has to deal with the blood flow that goes on in the brain. According to the Association of Neurological surgeons, cerebrovascular disease is defined as the any disorder that is in the brain is either permanently or temporarily affected by bleeding and even by ischemia (AANS, 2005). It states, “ Cerebrovascular disease includes stroke, carotid stenosis, vertebral stenosis and intracranial stenosis, aneurysms, and vascular malformations” (AANS, 2005). When this
Patients with proximal internal carotid artery (ICA) or M1 segment of the middle cerebral artery (MCA) occlusions.
Mr X, a 60 year- old Caucasian male, admitted to the stroke unit with a diagnosis Left MCA infract. He presented to the emergency department right sided hemiparesis, neglect of affected limbs, dysphasia and right side facial droop. He was on cardiac monitor for close observation for 48 hours. Stroke critical care pathway and commenced and care provided as per protocol.. Stroke is a serious and deadly condition including cerebral circulation within the brain and can extremely affect a person ability to maintain a safe environment, communication and mobility as well as other activities of living. The purpose of this essay is to give an overview of the Pathophysiology of ischaemic stroke, the required nursing care and the rationale behind it, followed by medical management and treatment provided to the patient.
Cerebrovascular disease is “any abnormality of the brain caused by a pathologic process in the blood vessels.” (McCance, 2015) Aneurysms and strokes or cerebrovascular accidents encompass this category. There are three categories of strokes: ischemic (thrombotic or embolic), global hypoperfusion, and intracerebral hemorrhage. Thrombotic strokes are caused by arterial occlusions from blood clots formed in the arteries supplying the brain or in the intracranial vessels (McCance, 2015). The development of blood clots or thrombi in the venous channels of the brain is called cerebral thrombosis. Cerebral thrombosis is mostly ascribed to atherosclerosis and inflammatory disease processes that damage arterial walls. Inadequate cerebral perfusion creates damage in the arterial walls where platelets and fibrin attach to forming a thrombus. “Portions of the clot detach and travel up the vessel to distant sites where occlusion occurs, producing a stroke syndrome.” (McCance, 2015) An embolic stroke occurs when a fragment that breaks from a thrombus outside of the brain occludes a cranial artery, usually the middle cerebral artery.
Intracerebral hemorrhagic stroke occurs when vessels within the brain leaks blood into the brain itself. It often happens without warning. This type of stroke represents about 10% of all strokes. The most common cause is uncontrolled high blood pressure or (Hypertension.) Hypertension can cause small arteries inside the brain to become brittle and susceptible to cracking and rupture. Less often it may result from a blood vessel defect present since birth.