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practice updates

Thunderclap Headache – Pearls and Pitfalls

A thunderclap headache is defined by sudden, severe pain. The classic teaching in medical school is that a “thunderclap” headache is pathognomonic for subarachnoid hemorrhage. However, only 11-25% of TCHs are due to SAH. What else should you consider when a patient presents with a TCH?

practice updates

Drug Withdrawal: Pearls and Pitfalls

Drug abuse, whether of illicit or prescription drugs, is currently an epidemic. Patients may go into withdrawal, which can be dangerous. This is the second of a two-part series covering withdrawal states. Our first post evaluated the diagnosis and management of alcohol withdrawal. Today’s will cover opioids, benzos, cocaine, amphetamines, and caffeine.

EM Cases

Alcohol Withdrawal: Pearls and Pitfalls

Alcohol use is extremely widespread throughout developed countries. It is estimated that 8 million people in the US are alcohol dependent. Approximately 20% of men and 10% of women will at some point in their lives have an alcohol-use disorder. About half of people with alcohol-use disorders will have symptoms of withdrawal when they cut down or stop their alcohol consumption. Extreme complications, including seizures and/or delirium tremens, will occur in 3-5% of these people.

FOAMED

Pneumonia Mimics: Pearls and Pitfalls

Pneumonia is an illness frequently seen in our emergency departments. But, are all presentations actually pneumonia? Are we missing other illnesses that present similarly to pneumonia? Which ones pose significant morbidity and mortality risk to our patients? What clues are out there that will aid us in making an alternative and critical diagnosis?