#subarachnoid hemorrhage

[creepyscritches]

[lips directly on the microphone] you cannot be "too smart" or "too analytical" to teach others. You literally are just unskilled at educating and would rather blame others instead of building those neglected skillsets.

[shardechance]

𝖜𝖊 𝖈𝖆𝖓 𝖒𝖆𝖙𝖈𝖍, 𝖎𝖋 𝖞𝖔𝖚'𝖉 𝖑𝖎𝖐𝖊?

Teaser Tuesday for the critically acclaimed CORPSE UNTIL SUNRISE coming Oct. 30

[justnoodlefishthings]

Are u okay? Tomorrow I hope u feel better.

the blood vessels in my brain are trying really hard to kill me rn but i cant see a neurologist for like, a month. so im just existing in a constant state of muffled distress and agony

[wolfclad]

ooc . Sorry for the disappearing act, your girl was trapped in A&E hell.

[i-love-tubbs-the-cat]

answering med school insiders polls and getting the right answer is the most euphoric power trip

[funwisdoms]

Subarachnoid Hemorrhage: 10 Critical Insights for Understanding and Managing This Life-Threatening Condition

This comprehensive guide covers the essential aspects of subarachnoid hemorrhage, from its causes and symptoms to diagnosis, treatment, and prevention.Understanding these critical points can help you stay informed and take proactive steps in managing

Subarachnoid Hemorrhage: 10 Critical Insights for Understanding and Managing This Life-Threatening Condition Table of Contents Causes of Subarachnoid Hemorrhage: Aneurysm Rupture, Trauma Symptoms of Subarachnoid Hemorrhage: Sudden Headache, Decreased Consciousness Diagnosis of Subarachnoid Hemorrhage: CT Scan, Cerebral Angiography Treatment of Subarachnoid Hemorrhage: Surgery, Blood Pressure…

[scratchingworkstoo]

she's not like other girls, she's had a

brain hemorrhage

[olaabuward]

Don’t scroll ,read to the end

Hello, my name is Ola. I’m a Registered Nurse (RN) with a Master’s in Public Health (MPH), a survivor of six wars, and currently trapped in an ongoing genocide. My father was killed, my brother kidnapped, and now we’ve been bombed again, leaving my brother Abood gravely injured.

I wanted to provide an update on our dire situation. After our house was destroyed for the third time, Abood sustained multiple serious injuries. His most critical are a subarachnoid hemorrhage and a globe rupture, threatening his eyesight. We desperately need to evacuate him to Egypt for urgent medical treatment to save his vision.

I had paused sharing about my campaign after the famine crisis, but now we are in an emergency. We need help to get my brother the care he needs to survive and, hopefully, restore his sight

Your support means the world to us. Thank you for standing with us through these unimaginable times.

https://gofund.me/b0c286f5

https://gofund.me/b0c286f5

[warwickroyals]

Prince Nicholas of Danforth was born OTD in 2000

At approximately 06:43 CST, a 41-gun salute disrupted an early Sunday morning. The volleys erupted over Lake Michigan just as the rising sun illuminated the placid waves, coating the coastline in thick smoke and sending flocks of startled seagulls into the sky. On a regular morning, the noise would have been unwelcome, but this day was far from ordinary. It seemed no one in the City of Warwick had gotten much sleep; people had been out in throngs since two in the morning: honking car horns, climbing up streetlamps, dancing and cavorting to a chant that, ironically, took the tune of The Stars and Stripes Forever: "it's a boy, it's a boy, it's a boy!"

The baby boy was the first child of James, the Prince of Danforth, and his wife Tatiana. He was also the first grandson of King Louis V, the first child born to a Prince and Princess of Danforth since Prince Clarence's birth fifty years prior, and the first member of the Sunderlandian Royal Family to be born in the 21st century. The baby was christened Nicholas William Louis George on May 23, the 80th birthday of his great-grandmother, Queen Katherine. Popular press speculated that the prince was named after his great-great-grandfather, George II, who was known as "Nicky" within the royal family. From an early age, Prince Nicholas enjoyed an unprecedented amount of celebrity. His first overseas trip to the United States in January 2001 drew international media attention.

Nicholas's only sibling, Prince Alex, was born in July 2002. The two brothers were raised at Rockcliffe Palace in Warwick and Orchardlea, a courty house situated on a range of rolling hills and buffs in northwestern Great Lakes. The "Cotswolds of the Mississippi". Royal biographer Richard Clancy asserts that Nicholas was a "spoilt" albeit "introspective" child who from an early age "understood he would be king". When asked about her children, Princess Tatiana described Nick as a "little old man"

He's very wise, which is strange for a toddler. He hates commotion and noise. When we bring him to other children, he prefers to watch them. [Alex] is more of an animal, a different breed.

Nicholas "came out of his shell" when he reached school age. Education consisted of hallowed halls and a "work hard, play hard" mentality. Prince James took both academics and extracurriculars seriously and urged his son to become a "jack-of-all-trades". Nicholas was signed up for hockey, soccer, swimming, and lacrosse, although he lacked athletic talent and, by his own admission, "wouldn't get drafted any time soon". Academics were Nicholas's comfort zone, and he was reported to be a top student as early as 2009. As a teenager, Nicholas received private lectures from academics and constitutional theorists. On the weekends, he met with his grandfather to discuss state matters and the role of the monarch, a tradition that continued into adulthood. By graduation day, Nicholas was one of the most "thoroughly educated" members of his family.

In the early hours of September 1, 2017, Nicholas's father passed away from complications of a subarachnoid hemorrhage. Nicholas, then 17, became first in line to the throne and was created Prince of Danforth later that week. He also inherited huge amounts of property, wealth, and material possessions from his father's estate. By February, reports swirled that the prince was "begging" Chester Palace for support in his new role, as well as help for his mother, who remained grief-stricken. In response to increasing press pressure for updates on the prince, David Schuyler, his privates secretary, stated:

The Prince of Danforth isn't a landlord or a crown counillor or a governor-general. He is a boy. Perhaps a boy of more extraordinary circumstances, but a boy nonetheless. For the foreseeable future, his priority will be growing into a young man, a task he will do without the guidance and support of his father, who he adored and confided in.

Following his 21st birthday, Nicholas began a steady roster of royal duties. He was appointed to his grandfather's privy council and embarked on his first solo public engagements in March 2025. His early twenties were dominated by a revolving schedule of military service, internships, charity work, and state duties. At 28, the Prince of Danforth carries out over 300 engagements per year. Nicholas has never spoken publicly about the death of his father. "His private life," remarked Schuyler in late 2027. "Is exactly that: private."

[cursedreverie1945]

I tend not to do a whole lot with the high ranking or well known nazis, except Heydrich.

However, I figured I would do Ernst Kaltenbrunner because I don't see a whole lot of him on Tumblr.

Kaltenbrunner, was a coward and a dedicated nazi. I also believe he wasn't the brightest of bulbs.

Anyway, enough of that. Let's get on to this bag.

Ernst Kaltenbrunner was an Austrian, high-ranking SS official during the Nazi era, and major perpetrator of the Holocaust. After the assassination of Reinhard Heydrich in 1942, and a brief period under Heinrich Himmler, Kaltenbrunner was the third Chief of the Reich Security Main Office (RSHA), which included the offices of Gestapo, Kripo and SD, from January 1943 until the end of World War II in Europe.

Kaltenbrunner joined the Nazi Party in 1930 and the SS in 1931, and by 1935 he was considered a leader of the Austrian SS. In 1938, he assisted in the Anschluss and was given command of the SS and police force in Austria. In January 1943, Kaltenbrunner was appointed chief of the RSHA, succeeding Reinhard Heydrich, who was assassinated in May 1942.

A committed antisemite, Kaltenbrunner played a pivotal role in orchestrating the Holocaust and Nazi genocide intensified under his leadership. He oversaw the coordination of security and law enforcement agencies involved in widespread extermination, the suppression of resistance movements in occupied territories, extensive arrests, deportations, and executions. He was the highest-ranking member of the SS to face trial (Himmler having died of suicide in May 1945) at the Nuremberg trials, where he was found guilty of war crimes and crimes against humanity. Kaltenbrunner was sentenced to death, and was executed by hanging on 16 October 1946.

It was said that even Himmler feared him, as Kaltenbrunner was an intimidating figure with 1.94m (6'4½") in height, facial scars, and volatile temper. Kaltenbrunner was also a longtime friend of Otto Skorzeny and recommended him for many secret missions, allowing Skorzeny to become one of Hitler's favourite agents.

Kaltenbrunner also allegedly headed Operation Long Jump, an alleged plan to assassinate Stalin, Churchill, and Roosevelt in Tehran in 1943.

However, what made him more interesting was after WWII.

After a standoff and being arrested by US troops, Kaltenbrunner claimed to be a doctor and offered a false name. However, upon their arrival back to town his last mistress, Countess Gisela von Westarp, and the wife (Iris) of his adjutant Arthur Scheidler chanced to spot the men being led away; the ladies called out to both men and embraced them. This action resulted in their identification and arrest by U.S. troops. Oops?

During the initial stages of the Nuremberg trials, Kaltenbrunner was absent because of two episodes of subarachnoid hemorrhage, which required several weeks of recovery time. After his health improved, the tribunal denied his request for pardon.

When he was released from a military hospital he pleaded not guilty to the charges of the indictment against him. Kaltenbrunner said all decrees and legal documents that bore his signature were "rubber-stamped" and filed by his adjutant(s). He also said Gestapo Chief Heinrich Müller had illegally affixed his signature to numerous documents in question.

I mentioned he was a coward, right? OK, good.

Kaltenbrunner argued in his defence that his position as RSHA chief existed only theoretically and said he was only active in matters of espionage and intelligence. He maintained that Himmler, as his superior, was the person culpable for the atrocities committed during his tenure as chief of the RSHA.

Kaltenbrunner also asserted that he had no knowledge of the Final Solution before 1943 and went on to claim that he protested against the ill-treatment of the Jews to Himmler and Hitler. Further denials from Kaltenbrunner included statements that he knew nothing of the Commissar Order and that he never visited Mauthausen concentration camp, despite documentation of his visit. At one point, Kaltenbrunner went so far as to avow that he was responsible for bringing the Final Solution to an end. In response to his denials, people in the courtroom laughed.

There are pictures of him at one or more of the camps, for the record.

Kaltenbrunner was executed on 16 October 1946, around 1:15 am, in Nuremberg. His body, like those of the other nine executed men and that of Hermann Göring, was cremated at the Eastern Cemetery in Munich and the ashes were scattered in a tributary of the River Isa.

There are a few changing stories about the man, such as the facial scars. I've seen it reported as scars from mensur fencing and others saying it was from a car accident. There is also the combination of the two. Also, that he said it was from fencing but that was a lie and they were from a car accident. Who knows. Like with most history from the 20th century and earlier, there is always a certain part that is somewhat suspect.

You can always tell how committed a person is to their "religion" by how well they stand up for it in the face of defeat. Cowards.

Pictured left Kaltenbrunner before Nuremberg and the right is during the Nuremberg trials. Link below the pics is in English and it's part of Kaltenbrunner's interrogation.

[justkidneying]

Cerebral Hemorrhages

The Layers of the Cranium

You have your skin and connective tissue on the outside, then the skull itself. Under that, you have three meningeal layers: dura mater, arachnoid mater, and pia mater. Between the dura and arachnoid maters is a potential space (they technically aren't attached, but nothing is there. Between the arachnoid and pia maters is where CSF flows. The pia mater is basically stuck to the brain.

Epidural Hematoma

This is bleeding between the dura mater and the skull. You might see it if the temporal bone is fractured (or just hit), and the middle meningeal artery is ruptured. I have a whole post on it here.

You get this nice lens-shaped blood spot on a CT, as the blood is tapped between the skull and brain. It can't enter into the folds, just exerts pressure on the brain.

See the CT below. The blood is white (the black is a normal space within the brain, and the black at the top is the frontal sinus).

Subdural Hematoma

This is bleeding between the dura and the arachnoid mater. There are a bunch of what's called bridging veins in your brain that cross the subdural space, and their tearing causes this. The symptoms can start immediately after injury or develop over weeks. As the brain is compressed, you can have headaches, vision changes, dizziness, balance issues, nausea, and weakness on one side. As it progresses, you can see seizures, paralysis (including respiratory muscles), coma, and death.

On CT, this will look crescent-shaped. This is because the blood can move around between the layers and begin to surround the brain.

Subarachnoid Hemorrhage

This is bleeding under the arachnoid mater (no shit, right?). This can happen due to an aneurysm rupturing or trauma causing a vessel to break. This is going to allow blood into the folds of the brain, as the pia mater is still adhered to the actual brain tissue. The main symptom that differentiates this is a thunderclap headache. This is a very sudden and severe headache (you should go to the hospital if you get one). The rest of the symptoms are similar to subdural ones, eventually resulting in death.

On CT, you can see the blood in the middle of the brain. Not as interesting looking as the other two, imo.

[childhoodgrave]

struggling to stay awake dehydrated and hungry and sweating and shakkng and my brain is like cough cough wheeze… weneed to draw.. horny… ezrah pictures.. and then i get a subarachnoid hemorrhage anc pass away

[nightingalesandnorco]

Oh my god this blog is so helpful, I feel like I gotta get all my whump questions in before you get popular and don’t have time. the way you say what to expect in the hospital is so unique

-Talk to me about head injuries and comas! We know it’s not like tv where people wake up and they’re fine BUT we love the drama that’s easily reset like nothing happened lol So if I wanted someone to have a head injury that’s scary and they won’t wake up but not tooooooooo permanent… what would that look like?

-are there any other injuries you can think of that are your faves that cause a big dramatic moment where the team is panicking for whumpee but eventually they live to whump another day?

I'm glad to help! When I was writing whump stuff before I got into nursing, I wished that there was someone I could ask about these things, so here I am!

1 - I agree, the drama of head injuries and comas in fiction is peak. Unfortunately, head injuries can get pretty ugly in real life. Concussions, or traumatic brain injuries (TBI), are categorized into mild, moderate, and severe. A mild TBI can involve no loss of consciousness or loss of consciousness lasting less than 30 minutes and presents with an initial confused state lasting a few minutes, headache, nausea and vomiting, difficulty concentrating, difficulty sleeping, and possible retrograde amnesia (amnesia about the events that occurred right before the injury). A moderate TBI involves a loss of consciousness lasting 30 minutes to 6 hours and can present with confusion; retrograde amnesia that may can last up to 24 hours; temporary decerebrate or decorticate posturing (usually indicative of brainstem injury, but not in the case of moderate TBI; shown below); possible skull fracture; permanent deficits in cognition in the areas of attention, vigilance, detection, working memory, data processing, vision or perception, and language; and mild to severe mood changes.

A severe TBI involves a loss of consciousness lasting longer than 6 hours and usually presents with signs of brainstem damage including altered pupillary reaction (example: fixed and dilated pupils), problems with heart and lung function, decorticate or decerebrate posturing, and changes in reflexes (example: stroking the bottom of the foot from heel to toe causes the toes to fan out); serious deficits in cognition (deterioration in language, inability to reason and learn, and loss of inhibitions), motor function, and sensory function; and possible vegetative state.

People with TBIs can also suffer from post-concussion syndrome (headache, dizziness, fatigue, nervousness or anxiety, irritability, insomnia, depression, inability to concentrate, and forgetfulness lasting weeks to months after the injury), seizures, or chronic traumatic encephalopathy (CTE; progressive cognitive decline similar to dementia caused by repeated head trauma).

In real life, a coma would only occur with a severe TBI and, sadly, the prognosis is extremely poor. That being said, there have been rare cases in which people have woken up from traumatic comas, however they endure long recoveries with extensive occupational, physical, and speech therapy and usually are left with permanent disabilities.

As far as head injuries with extended loss of consciousness but no permanent damage go... Aside from one in a million cases, I'm not really sure. But after extensive research, I might have something for you. When TBIs result in vascular injury (epidural hematoma, subdural hematoma, intracerebral hemorrhage, subarachnoid hemorrhage, contusions [see the below diagram of the brain to get an idea of the locations of these]); the resultant congestion and increase in pressure in the brain can cause intracranial hypertension.

Intracranial hypertension is high blood pressure that is isolated to the brain, and presents with nausea, vomiting, lethargy, confusion, irritability, vision and hearing changes, abnormal pupillary response, asymmetric facial movements, gait and balance issues, and decreased level of consciousness. If uncontrolled, intracranial hypertension can lead to stroke, seizures, blindness, coma, and loss of respiratory function.

Sometimes, if all other treatments (antihypertensive medications, medications to reduce intracranial pressure, sodium-rich IV fluids to pull fluid out of the brain, insertion of an external catheter into the brain to drain excess cerebrospinal fluid [CSF]) have been unsuccessful, a patient with intracranial hypertension may be put in a medically-induced coma with barbiturates to minimize damage until the hypertension can be resolved, usually with emergency surgery. Since this a pretty hyper-specific scenario, it's hard to say what the prognosis would be after the hypertension is resolved, but the literature says that it's generally good if treatment is prompt.

Surgical treatment may involve draining hematomas and repairing vascular damage, draining excess CSF, or temporarily removing a portion of skull to give the brain room to swell (craniectomy). In the case of a craniectomy, a second surgery to replace the portion of skull (cranioplasty) will be performed weeks or months later and the patient will still likely have cognitive and motor deficits and will need long-term rehabilitation.

2 - Oh boy, here we go. I'm a big fan of gunshot grazes and shots to bullet proof vests. What's better than whumpee looking and feeling like they got shot without actually getting shot? I also like drowning with respiratory arrest, as long as the whumpee can be resuscitated. I'm not opposed to cardiac arrest in this case if the proper means of cardiovascular resuscitation are available. Speaking of which, I'm also a fan of CPR, at least until a crash cart is available.

Sorry I couldn't give a very satisfactory answer to your first question. This might be one of those times where you have to sacrifice medical accuracy for the sake of storytelling. Good luck and happy whumping!

[transgenderer]

The Cheese Effect in MAOIs

A number of other MAOIs followed iproniazid onto the market, of which the best known were phenelzine and tranylcypromine. In 1961 there was a report in the Lancet of a patient who had a fatal subarachnoid hemorrhage while taking tranylcypromine. Subarachnoid hemorrhages are uncommon but occur frequently enough to make it al but impossible on the basis of a single case to implicate a drug that someone might have been taking. Reporting such a case in a journal like the Lancet, however, indicates a certain degree of suspicion on the part of the clinicians involved. This was one of seven such cases reported between 1961 and 1963. Some were fatal, but in those instances the subjects were taking more than one drug, making it impossible to finger tranylcypromine.

It also seemed that primary care physicians were noticing an increased occurrence of headaches in patients taking MAOIs. Examination of such patients suggested that some had blood pressure elevations, which could potentially tie in with the subarachnoid hemorrhages. Barry Blackwell, a psychiatric trainee at the Maudsley, drew attention to the possibility in a letter to the Lancet, which caught the eye of a hospital pharmacist in Nottingham named Rowe. He wrote to Blackwell detailing the occurrence of headache and hypertension in his wife, who had been taking a MOAI, after she ate cheese. Could there be something in cheese which cause a problem for people on these drugs? Blackwell and his colleagues were amused at the suggestion and dismissed it, not knowing that some of the American clinical trialists for tranylcypromine had noted headaches as a side effect. Max Lurie even suspected an interaction with the food that people were eating.

Gerald Samuel, working with one of the manfuacturers of an MAOI at the time, was less skeptical than the Maudsley doctors because the company had received two other suggestions of a similar nature. His remarks encouraged Blackwell and a colleague to take tranylcypromine for a week and then have cheese--nothing happened. The notion might have died at that point but that weekend Blackwell was called to see a lady who had taken phenelzine and had developed headache and hypertension--after a cheese sandwich. A patient in the hospital taking tranylcypromine agreed to take cheese with lunch and several hours later developed the increasingly familiar symptoms, as did two other patients in the hospital the afternoon after cheese made its weekly appearance on the dinner menu.

...

The medical profession only began to take the observations seriously when a scientific account could be given for what was happening. Ultimate it was shown that cheese contained tyramine, which appeared in the bloodstream after it was eaten. This could indeed increase blood pressure. The implicated was that the inhibit of monoamine oxidase in the wall of the guy allowed more tyramine than usual to enter the blood stream and hence the problem. The "cheese effect" was born. A variety of other foods were then shown to be problematic as well, including both wine and beer, beans, and other vegetables.

The Antidepressant Era, Healy

[cealtrachs]

Three years ago I was standing over my unconscious mother as she lay in the emergency room. She had just been in a terrible accident, and was bleeding from the base of her head and ear. Multiple skull fractures, multiple subarachnoid hemorrhages, broken cheekbone and eye socket, dangerous brain swelling on her ocular nerve and eardrum.

I didn’t know this, but she was about to be in a coma for three days. I did know, or, was told, that she had a 50% chance of surviving past 48 hours. I was also told that I wouldn’t be able to stay with her - it was the first wave of COVID, I was just incredibly lucky that I arrived at the hospital before they formally admitted her. I knew the hospital chaplain, and asked him to go pray over her. I didn’t feel anything at all - just buried myself in forms, as I was her health care agent, and insurance phone numbers.

This past weekend, my mother and I went to see the movie about the famous University of Washington rowing team. She loves stories about underdog athletes - Miracle on Ice is one of her favorites - and squeezed my hand in excitement during the racing scenes. In two weeks, she and I will visit a new Andrew Wyeth exhibit.

[so-i-did-this-thing]

I'm sorry.

it wasn't a true prank. No one today or for a very long time gives a shit about repaired esophageal atresia or a tracheo-esophageal fistulas that meant that when they put this 13 week prem on a ventilator it forced air through the fistula into the lower half of his unconnected esophagus and then into his stomach and causing a rupture, the stress of which caused a left side subarachnoid hemorrhage and life-long paresis and epilepsy.

It looks like you're in a place where you feel helpless and you have a lot of anger about that. I know how it feels to be in that dark place for decades, but it is inappropriate for you to lash out to strangers online. Especially towards those most likely to feel empathy towards whatever burdens you are currently carrying in life.

I will say again that I hope you find joy and community, but unfortunately I cannot be the one to offer you either.