Archive

Tag: Subarachnoid Hemorrhage

Is it Safe to Discharge Patients Home with Isolated Traumatic Subarachnoid Hemorrhage (itSAH)?

Background: I received a text message from one of my colleagues inquiring about discharging a patient home with isolated traumatic subarachnoid hemorrhage and to be honest I had heard about this practice, but was not completely aware of the literature around …

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Trauma

REBEL Cast Episode 21: Sensitivity of Early Brain CT to Exclude Aneurysmal Subarachnoid Hemorrhage

Background: Headache accounts for approximately 2% of all ED visits. One of the most serious etiologies of headache is aneurysmal subarachnoid hemorrhage (SAH), which accounts for 4 – 12% of ED patients with thunderclap headache. There have been several studies …

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Neurology

Xanthochromia Detection: Visual Inspection vs. Spectrophotometry

Background: Although 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, lumbar puncture (LP) continues …

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Neurology

Does a Normal Head CT Within 6 Hours of Onset of Headache Rule Out SAH?

Background: The traditional standard workup for ruling out subarachnoid hemorrhage (SAH) has been a non-contrast head CT and, if negative, a lumbar puncture. The thought behind this is that the sensitivity of head CT to rule out SAH is not …

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Neurology

Game Changers in Emergency Medicine

Recently, I have been asked if there are any studies that have been performed over the past few years that should shape the way emergency medicine physicians should practice and can greatly improve patient care. So I asked some of …

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Abdominal and GastroinstestinalCardiovascularNeurologyPediatricsResuscitation

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