Tagged ‘Subarachnoid Hemorrhage’
Journal Review
The Ottawa SAH Decision Instrument
Filed Under: EM Journal Update Tags: Clinical Decision Instrument, Neurology, Subarachnoid Hemorrhage February 15th, 2018 Leave a CommentAcute 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: EM Journal Update Tags: Neurology, Neurosurgery, SAH, Subarachnoid Hemorrhage May 4th, 2017 One CommentIn 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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Journal Review
False Negative NCHCT in SAH
Filed Under: EM Journal Update Tags: Lumbar Puncture, Neurology, SAH, Subarachnoid Hemorrhage February 16th, 2017 Leave a CommentPatients 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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Journal Review
Sensitivity of NCHCT < 6 Hours After Symptom Onset in Suspected SAH
Filed Under: EM Journal Update Tags: Aneurysm, NCHCT, SAH, Subarachnoid Hemorrhage April 28th, 2016 Leave a CommentThanks to Salim Rezaie (@srrezaie) for peer-reviewing this post.
Acute headache is a common emergency department presentation that accounts for 1-2% of all encounters (Goldstein 2006) The differential includes many life-threatening diagnoses,
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Journal Review
Spectrophotometry or Visual Inspection for Xanthochromia
Filed Under: EM Journal Update Tags: Lumbar Puncture, SAH, spectrophotometry, Subarachnoid Hemorrhage, xanthochromia March 3rd, 2016 Leave a CommentAlthough non-contrast head CT (NCHCT) has near perfect sensitivity (98-100%) in detecting aneurysmal subarachnoid hemorrhage (SAH) when performed within 6 hours of headache onset, sensitivity declines after 6 hours. As a result of declining sensitivity,
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Journal Review
Lumbar Puncture After Normal NCHCT in Suspected Subarachnoid Hemorrhage
Filed Under: EM Journal Update Tags: Aneurysm, LP, Lumbar Puncture, SAH, Subarachnoid Hemorrhage February 4th, 2016 Leave a CommentAcute headache is a common emergency department presentation that accounts for 1-2% of all encounters (Goldstein 2006) The differential includes many life-threatening diagnoses, one of which is aneurysmal subarachnoid hemorrhage (SAH).
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