Thanks to all who stopped by our Innovations inEM Education booth at SAEM these past few days. Your input and encouragement were appreciated! The abstract is now online and an MS-Word version of our informational pamphlet is available for download.
For those of you who wanted to discuss things further, my email is Nicholas.Genes /at/ mssm.edu.
Other EM journal club websites with analyses of articles:
If you know of more, please share! The idea of putting EM Journal Clubs online, for prompt bedside access, goes back a few years…
May 20, 2007
Posted by
Nick |
Useful Links |
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3 Comments
At our last Journal Club, Tom presented a 2005 paper from JEM on new CT scanners in the evaluation of SAH. The paper was called Subarachnoid Hemorrhage Diagnosis By Computed Tomography and Lumbar Puncture: Are Fifth Generation CT Scanners Better at Identifying SAH? by Boesiger and Shiber, and it appears in Journal of Emergency Medicine (2005: Vol. 29, No. 1 pp23-27).
The article is motivated by the fact that 1% of headache patients in the ED have SAH. Most are traumatic, but those that aren’t are usually from Circle-of-Willis aneurysm ruptures, which often kill or disable otherwise healthy people. EM physicians hate that sort of unsettling risk, and the situation is further complicated by the 20-50% of SAHers who present with a sentinel bleed. So there’s a real opportunity to help some potentially moribund patients — but if you ask most interns, they’ll say they’re shoving too many needles into the backs of people who probably just needed some exedrin.
Maybe we can change our practice, based on recent upgrades in CT scanner technology. These authors were the first to look at the new scanners with an eye toward sensitivity in SAH diagnosis. More below…
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May 7, 2007
Posted by
Nick |
Headache, Procedures, Radiology, Stroke / CVA |
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2 Comments
