Archive

Tag: Neurology

Haloperidol for Treatment of Headache in the Emergency Department

Background Information: Headache is a common chief complaint that emergency physicians encounter almost every day and sometimes multiple times in each shift. In fact, headache is the fifth leading cause of patients presenting to the emergency department (ED).1 Current first-line ...

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Neurology

REBEL Core Cast 9.0 – Pediatric Status Epilepticus

Pediatric Status Epilepticus Shownotes Definition: Seizure that has been going on for >5 minutes OR recurrent seizures without return to baseline. If the patient was seizing at home and still seizing when they get to the ED, consider it to ...

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Pediatrics

Endovascular Therapy for Acute Ischemic Stroke: The New Shiny Toy in Stroke Care?

The shiny new toy in stroke treatment is endovascular therapy.  There have now been 12 randomized controlled trials (RCTs) on endovascular stroke therapy (EST), with eight of the last nine showing positive results – stunningly positive.  This flood of positive ...

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Neurology

Extending the tPA Window to 4.5 – 9 Hours in Acute Ischemic Stroke (AIS)?

Background: No matter which side of the debate you sit on in regard to systemic thrombolysis in acute ischemic stroke (AIS), there is one truth: systems have undergone major changes to ensure tPA is offered to patients in the ≤4.5-hour window.  ...

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Neurology

The Ottawa SAH Clinical Decision Rule

Background: Headache is a common presentation to the emergency department  (ED) accounting for 2% of all visits .  Of the patients that present with headache,1 – 3% will be due to a subarachnoid hemorrhage (SAH) . SAH is a true diagnostic ...

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Neurology

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