CTs for SAH - Does Time Even Matter?

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CTs for SAH - Does Time Even Matter?

Spontaneous subarachnoid hemorrhage (SAH) is a can’t miss diagnosis for patients presenting to the emergency department with a headache. The diagnosis is associated with a 30% mortality at 30 days, and approximately 30% of survivors may have long-term neurocognitive deficits (Rincon et al., 2013). The majority of spontaneous SAH are secondary to a ruptured arterial aneurysm (80%) while non-aneurysmal SAH are often due to low pressure venous bleeds, arteriovenous malformations, and other more rare causes. This post will recap the existing literature on the diagnosis of aSAH and will focus on breaking down a recently published paper by Vincent, et al which may inform our future practice.

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Your Migraine Cocktail Didn’t Work? Shake it Up!

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Your Migraine Cocktail Didn’t Work? Shake it Up!

You’ve tried prochlorperizine, ketorolac and fluids and are about to triumphantly discharge the patient when they stop you and inform you they’re still in a debilitating pain. What’s your move? Join Dr. Martina Diaz as she reviews second line and alternative therapies in the management of acute headaches.

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Grand Rounds Recap 12.2.20

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Grand Rounds Recap 12.2.20

We had a great Grand Rounds with nine lectures!

Dr. Fermann gave us operations updates for the CEC. Dr. Dave Thompson discussed quality improvement, root cause analysis, and the Pareto Principle. Dr. Tillotson walked us through the types of hypertension seen in pregnancy and how to manage these patients. Dr. Walsh found a sandwich in a patient’s airway. Dr. Jarrell discussed the exciting specialty called Social Emergency Medicine. Dr. Koehler showed us how to use a Minnesota tube for massive UGIB. Dr. Milligan discussed complex cardiac devices including IABP, Impella, and LVAD. Dr. Hassani reviewed post partum headaches and evidence on neuroprotective intubation. And lastly, Dr. Gleimer made us exercise our System 1 and System 2 thinking.

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