Tagged ‘Neurology’

Journal Review

The VAN Assessment to Identify Large Vessel Occlusion Strokes

Filed Under: Tags: , , May 17th, 2018 Leave a Comment

This review is cross-posted on REBEL EM.

Over the last three years, we have seen the rise of neurointerventional therapies for patients with ischemic strokes due to large vessel occlusions (LVOs).
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Journal Review

The Ottawa SAH Decision Instrument

Filed Under: Tags: , , February 15th, 2018 Leave a Comment

Acute headaches account for 1-2% of all ED visits. Of these patients, 1-3% will actually have a subarachnoid hemorrhage (SAH) (Goldstein 2006). This makes it a rare, challenging to make diagnosis but,
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Journal Review

Predictive Factors for Rebleeding in Aneurysmal Subarachnoid Hemorrhage

Filed Under: Tags: , , , May 4th, 2017 One Comment

In patients with subarachnoid hemorrhage, one of the major early complications is rebleeding, with reported incidences ranging from 8% to 23% in the first 72 hours (Larsen 2010).  If repair of the ruptured aneurysm is performed successfully in a timely fashion,
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Core

Approach to Adult First Time Seizure in the ED

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This post delves into the ED assessment and management of a patient presenting with a 1st time seizure.
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Journal Review

False Negative NCHCT in SAH

Filed Under: Tags: , , , February 16th, 2017 Leave a Comment

Patients presenting with severe, sudden onset headaches can present a challenge to Emergency Physicians. While most headaches are benign, a minority of them are  a symptom of aneurysmal subarachnoid headaches (aSAH);
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