This post looks at the Neurocritical Care Society guideline updates for the management of aneurysmal subarachnoid hemorrhage, including blood pressure management, antifibrinolytics, calcium channel blockers, fluids, and more.
Neurocritical Care Society Aneurysmal SAH Guidelines Read More »
52 in 52 looks at sensitivity of multi-slice CT for subarachnoid hemorrhage at different timepoints from symptom onset.
Journal Feed rings in the new year with CT for SAH, calcium for PEA, and oxygenation targets in critical care.
Journal Feed Weekly Wrap-Up Read More »
Medical malpractice insights covers the importance of a good MDM in this month’s post.
Medical Malpractice Insights: SAH 3 days after ED visit and a good MDM Read More »
This month’s Medical Malpractice Insights discusses a case of an overlooked sentinel headache.
Medical Malpractice Insights: Sentinel headache overlooked Read More »
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?
Thunderclap Headache – Pearls and Pitfalls Read More »
An LP gives providers the ability to perform CSF analysis for red blood cells and detect xanthochromia by visual inspection or spectrophotometry. In most of the world, including the United States, the predominant approach to identifying xanthochromia is visual detection. However, this technique is subjective and considered unreliable by many. Spectrophotometry is a more objective test but, has lower specificity, carries a higher cost and is unavailable in the majority of hospitals.
R.E.B.E.L. EM – Xanthochromia Detection: Visual Inspection vs. Spectrophotometry Read More »