Subarachnoid Hemorrhage: Why do we miss it?
This post looks at why we miss subarachnoid hemorrhage, specifically imaging and lumbar puncture.
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subarachnoid hemorrhage
Subarachnoid Hemorrhage: ED Critical Care Management
This post covers the ins and outs of managing the critically ill patient with subarachnoid hemorrhage.
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The Bloody CSF Tap – Pearls and Pitfalls
What do you do with the CSF sample with blood in suspected subarachnoid hemorrhage or meningitis? This post looks at the evidence behind those pesky RBCs.
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Medical Malpractice Insights: Sentinel headache and missed cerebral aneurysm
Breakdowns in communication can cause all sorts of problems. This month’s Medical Malpractice Insights looks at a case of failure to communicate.
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R.E.B.E.L. EM – Xanthochromia Detection: Visual Inspection vs. Spectrophotometry
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.
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Controversies in the Diagnosis of Subarachnoid Hemorrhage
The challenge of emergency medicine is to determine if a patient has a serious and/or deadly condition, even when he or she presents with a common chief complaint. A simple HA can be life-threatening…
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