“Sensitivity of Early Brain Computed Tomography to Exclude Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysis” Background/Study Question This article aimed to answer the question: How sensitive is a CT…
Author: Shivon Manchanda We recently had a wonderful guest lecture from Elizabeth Pieroth, PsyD, ABPP, the Director of the Concussion Program at Midwest Orthopedics, about how to approach concussions in…
“Combined Corticosteroid and Antiviral Treatment for Bell’s Palsy A Systematic Review and Meta-analysis” Background/Study Question This article aimed to answer the question: Do steroids PLUS antivirals offer reduced risk of…
Author: Dr. Trevor Landas Defined as inflammation of the meninges, or covering layers of the central nervous system, meningitis has a high morbidity and mortality if not identified and treated…
Author: Dr. Calloway Pichette Article: IV Fluids for the treatment of Emergency Department patients with migraine headache: a randomized controlled trial Background: Headache, a common complaint in the ED. Many…
Background: About 1 to 2% of ER visits deal with Syncope. Most of these are vaso-vagal episodes that do not require more work up. But, beside the obvious slam dunk:…
Last week we had the opportunity to learn about posterior circulation ischemic strokes from vascular neurologist, Dr. Osteraas.
Diagnosing posterior circulation ischemic strokes can be challenging in the emergency department, largely because posterior circulation ischemic strokes frequently lack “traditional” stroke signs and symptoms and the symptoms that you do see are often non-specific and can be slow onset. Despite this, it is important to do our best to diagnose these as about 20% of ischemic events involve the posterior circulation and posterior circulation ischemic strokes can lead to some of the most devastating neurologic outcomes, including massive cerebellar infarcts with subsequent herniation and locked in syndrome.
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At last month’s mortality and morbidity conference, we discussed a case of Posterior Reversible Encephalopathy Syndrome (PRES). Our consultant, a neuro-intensivist, told us that PRES is not always posterior, not…
Stroke or Vestibular Neuritis? Use the HINTS
The other day, Tom and I had a patient with the symptom of continuous vertigo. This is to be distinguished from someone with episodic triggered vertigo, such as when turning…
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