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practice updates

Seizure Mimics: Pearls & Pitfalls

If you're like us, chances are that you've encountered the difficulty in evaluating a patient in the emergency department after seizure-like activity. Read on, contained within we offer a number of pearls for assessing this unique patient population.

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

Critical Intracranial Hemorrhage: Pearls and Pitfalls in Evaluation and Management

Intracranial hemorrhage is the second most common cause of stroke, accounting for 10 to 15% of all acute strokes. These patients can present with many different symptoms and can be life-threatening. This post details pearls and pitfalls in the differential, evaluation, and management of these patients.

practice updates

Current Controversies in TIA Evaluation

TIA is a brief neurologic deficit due to cerebral ischemia, with no permanent infarction. It affects over 200,000 U.S. patients per year and may precede 14% to 23% of strokes. Many have sought risk stratification tools to determine who may be appropriate for discharge with follow-up. This post evaluates the new ACEP guidelines for TIA and the controversies in the ED evaluation of TIA.