Thank you for including the rationale, why its done, what to look out for and what the abnormal finding means, or possible cause of the abnormal finding.
@Mackan2725 жыл бұрын
He doesnt have stroke at all! He's just there for the free delish hospital food!
@FoolWithACamera05 жыл бұрын
The problem with doing this scale is when the patient has deficits, the grading of the deficits, and the many associated caveats. Unfortunately, this video glosses over the difficulties this can pose in doing the assessment and the amount of time that may be required to do the assessment. There are also many areas of this assessment that have very poor inter-rater reliability which are not pointed out in the video. I really wish all patients who are being evaluated for an acute stroke were as easy as the patient in the video.
@reverendblkgrape12 жыл бұрын
💯
@jljordan12 жыл бұрын
What we might miss with this assessment are those that are already cognitively disabled, non English speaking will not score low, those with visual disabilities are unable to complete a MAJOR portion of the exam. With diabetes we have peripheral neuropathy that damages sensory perception. Someone that’s had bells palsy will have some asymmetric facial features that are not really indicative for a stoke but would score high on this test. NIH is a good test, but we need to use clinical judgment to determine if our patients would benefit from our standard neurological, cognitive, neuromuscular, etc better. Also there are better videos if you really want to get NIH certified, they are just old and long!
@anonymousdonor Жыл бұрын
@@jljordan1 Exactly. I asked my educator about prior deficits and she said that in order to keep everything consistent, they will just have to have a higher stroke score and we are to rely on the trends, not so much the score itself. So basically, like you said, assess the patients and monitor progress.
@ephrem3966 Жыл бұрын
Preexisting deficits from previous stroke or Bell’s palsy might make a patient score high, but a new stroke in the same area as a previous stroke might be masked by patient’s preexisting deficits from the old stroke, hence the need to score what we observe regardless of old deficits. Assuming that what we’re observing is from a preexisting deficits and not new symptoms superimposed on old deficits could be detrimental.
@youtubeguy92492 ай бұрын
This video is literally just try a teach the nihss. It doesnt claim for it to be superior. Thanks for your comment.
@GYoloMac157 ай бұрын
He was snapping... thats called a compliment
@kuriosites2 жыл бұрын
I'm going to ask my manager to only make me do NIHSS on alert/oriented patients without stroke.😉
@mariaalmojuela63 жыл бұрын
Beautiful presentation and gorgeous doctor.
@mydoctorhealthyzonedrAnubhav4 жыл бұрын
Thanku for this wonderful video Its very helpful to us ...
@doctorcosta Жыл бұрын
How do you remember all the points?
@kerozen79874 жыл бұрын
Great video , great explanations
@hjw144 жыл бұрын
Hi there! Thank you for your wonderful educational video. I was wondering, If the patient has sensory impairment, how would you test for extinction? Also, what is the underlying neurophysiology of extinction? Why is it the NIHSS not use pronator drift instead of this, which I have no idea what is the method of examination called? 😄 I know its a lot of questions. Apologies for the lengthy post. Many thanks
@solslastcannula5665 Жыл бұрын
2 years and no reply. Savage.
@user-dj2ip2ly3l4 жыл бұрын
Thank you so much , I write my research project
@faatty16 жыл бұрын
thanks
@swarnarizal8062 жыл бұрын
From where can we get that booklet ?
@kashishthakur5327 Жыл бұрын
NIH score scale is calculated only in ischemic stroke???
@doctormsigwa85784 жыл бұрын
Thank you!
@ItsMeTyT2 жыл бұрын
Yeah so you just showed how to perform a stroke assessment on someone not having a stroke.
@co5bass53 жыл бұрын
The look on this dude's face tells me he doesn't believe in what he's teaching.