Archive

Medical Category: Neurology

External Validation of Pittsburgh Cardiac Arrest Category (PCAC) Illness Severity Score

Background Information: Multiple illness severity scores have been developed for use after out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA). Unfortunately, these rely on information that is not immediately available to providers in the early hours following return of …

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CardiovascularNeurologyResuscitation

REBEL Core Cast 83.0 – Post-LP Headache

Take Home Points Post dural-puncture headache affects up to 30% of patients after lumbar puncture. Suspect PDPH in all patients who recently underwent an LP or epidural anesthesia regardless of whether they meet the IHS criteria. The best way to …

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NeurologyProcedures and Skills

Tenecteplase vs Alteplase in Acute Ischemic Stroke

Background: At my shop we have changed wholesale to the use of tenecteplase over alteplase for acute ischemic stroke meeting criteria for thrombolytic therapy.¬† This was based on a systematic review and meta-analysis of 6 RCTs and 2 observational trials …

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Neurology

REBEL Core Cast – Basics of EM – Mega Summary – Part 2

Take Home Points Emergency medicine revolves around the differential¬†diagnosis History and physical exam should significantly narrow your differential diagnosis Have an idea of what specific diagnoses are being ruled out when ordering diagnostic tests Always consider the most life-threatening and …

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Abdominal and GastroinstestinalCardiovascularDermatologyEndocrine, Metabolic, Fluid, and ElectrolytesHematology and OncologyInfectious DiseaseNeurologyObstetrics and GynecologyOrthopedicsResuscitationTrauma

REBEL Core Cast – Basics of EM – Syncope

Take Home Points Break the differentials down into bad & painless, bad & painful, and other causes – WOMAN-PE Cardiac causes – mechanical or electrical – look for the obvious and 5 non-obvious causes (WPW, HCOM, ARVD, prolonged QT, and …

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CardiovascularNeurology

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