Browsing: Neurology

Neurology , Ultrasound , Guided Procedures

Ultrasound Guided Supracondylar Nerve Blocks for Reduction of Distal Radius Fractures

2/11/2020 Heather Roesly, MD , Spencer Tomberg, MD
One of the most common fractures seen in the ED - and one of the most painful to manipulate and reduce prior to splinting. This nerve block can help.
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Ultrasound , Neurology , Pain Management , Orthopedics

Risk Awareness in the Interscalene Nerve Block

10/10/2019 Heather Roesly, MD , Spencer Tomberg, MD
Before employing this nerve block when addressing shoulder dislocations, ensure familiarity with the nerve structure in the area and assess whether it will be appropriate in the patient.
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Toxicology , Psychiatry , Neurology

Phenibut Overdose: Coming to an ED Near You

10/10/2019 Megan Hoffer, DO , Michael Tranovich, DO , Richard Houck, DO
This OTC anxiolytic might cause you a little anxiety in cases of overdose. Here's an overview on how to help affected patients.
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Neurology

Detecting Wernicke-Korsakoff Syndrome

8/14/2019 Lee Johnson , May Li, MD
A missed diagnosis of Wernicke encephalopathy (WE) can lead to Korsakoff syndrome, which carries a 20% mortality rate. Because this life-threatening condition can be easily misdiagnosed, it's importan
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Neurology

Take a HINT on Central Vertigo in the Emergency Department

8/13/2019 Michael D. Simpson, MD , Eric Kalivoda, MD
Differentiating benign peripheral conditions from central nervous system lesions like strokes can be difficult. Enter the HINTS exam - the objective measure.
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Neurology , Trauma

Jackhammer Dissection

8/13/2019 Mary Katherine Montes de Oca , Zane P. Osborne, MD, MBA, FACEP , Sarah E. Fabiano, MD, FACEP, FAAEM
If a patient presents with recent trauma, neck pain, headache or neck manipulation with signs or symptoms of stroke, cervical artery dissection should be considered.
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Pediatric EM , Neurology

Flaccid Paralysis in a 7-week-old Infant

8/19/2018 Yagnaram Ravichandran, MBBS, MD, FAAP , Amy DeLaroche, MBBS
Flaccid paralysis of the bilateral lower extremities in infants can be the presenting feature for a variety of diseases.
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Neurology

Thrombosis in the Brain

4/15/2018 Grigory Ostrovskiy, MD , Salman Al Jerdi, MD
Cerebral venous sinus thrombosis, a relatively rare condition, nevertheless carries a high mortality rate - making it a can't-miss diagnosis in emergency care.
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Critical Care , Neurology , Traumatic Brain Injury , Trauma

Revisiting Cerebral Perfusion Pressure: A Framework for Approaching TBI

4/15/2018 Kristin Schmid, MD , Tina Chen, MD
In the United States, more than 2.5 million patients seek care for traumatic brain injury every year, accounting for approximately 2% of all ED visits. The equation for cerebral perfusion pressure can
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Cardiology , Neurology

Cardiac Complications from Subarachnoid Hemorrhage

4/15/2018 David Murphy, MD , Nicholas Johnson, MD
How does subarachnoid hemorrhage lead to cardiac arrest, complete heart block, or cardiomyopathy?