Critical Care Devices , Critical Care , Neurology

Critical Care Device Series: External Ventricular Drain

6/30/2024 Josh Wild, DO , Luxi Qiao, MD, MPhil , Sherard Lacaille , Daniel Zapata, MD

External ventricular drain placement is often considered a lifesaving measure to alleviate severe hydrocephalus or elevated intracranial pressure. This paper reviews current guidelines and steps for p

Deep Dive in CritCare , Critical Care , Neurology

Deep Dive into the Evidence: Monitoring and Management of Elevated Intracranial Pressure in Severe Traumatic Brain Injury

6/11/2024 Luxi Qiao, MD, MPhil , Josh Wild, DO , Eleni McCaffery, MD , Dominique Gelmann, MD , Dustin Slagle, MD , Sung-Min Cho, DO, MHS

Elevated ICP is an emergent complication associated with injury to the brain. In this Deep Dive, we summarize the existing evidence regarding the monitoring and management of elevated intracranial pre

Neurology

Not all Weakness is Stroke: Difficult Diagnosis of Cerebellar Abscess Without MRI Ability

4/15/2024 Samuel Orchard, MD , Sarah E. Fabiano, MD, FACEP, FAAEM

Brain abscesses can be difficult to diagnose and often mimic other intracranial pathology such as stroke or malignancy. These patients may not exhibit infectious symptoms such as fever, leukocytosis,

Neurology

Tension Pneumocephalus: Rare Brain Air Complication Requires Emergent Care

3/19/2024 Jibril Ashiru-Balogun, MD , Danielle Biggs, MD

Tension pneumocephalus — which can result from air accumulation under pressure within the skull cavity — is a potentially fatal condition and may require emergency surgery. It is difficult to diagnose

Pediatric EM , Neurology , Vascular

CNS Manifestations in IgAV: A Pediatric Case Report

3/18/2024 Erin Bell, MD , Abby Halm, MD , Jakob Ottenhoff, DO

Immunoglobulin A vasculitis (IgAV) is the most common form of present vasculitis in children. Diagnosis is clinical and includes the presence of palpable purpura with at least 1 of the following: a bi

Psychiatry , Neurology , OB/GYN

Anti-N-Methyl-D-Aspartate Receptor Encephalitis During Pregnancy

1/15/2024 Haad Arif , Sunny Bang, MD

Emergency physicians should maintain a high degree of suspicion for anti-NMDA receptor encephalitis (ANMDARE) and ovarian teratomas in young female patients presenting acutely with psychiatric symptom

Neurology , Nephrology , Toxicology

Valacyclovir-Associated Neurotoxicity in End-Stage Renal Disease

1/15/2024 Chad Barnhart, MD, EMT-P , Matthew Ball, MD , Michael B. Holbrook, MD

Valacyclovir-associated neurotoxicity (VAN) is a relatively rare phenomenon. This case report details a unique presentation of VAN in a hemodialysis-dependent patient. It underscores the importance of

Infectious Disease , Neurology

Neurosyphilis: Keep it in Mind When Symptoms Align

1/15/2024 Cassie Ward, DO , Shannon Lovett, MD, FACEP

New cases of syphilis are on the rise, so have a high index of suspicion in patients with any risk factor or symptoms. Consider neurosyphilis in patients with prior history of syphilis and any headach

Critical Care Alert , Critical Care , Pulmonary , Cardiology , Neurology

Critical Care Alert: TAME Trial: Mild Hypercapnia versus Normocapnia after Out-of-Hospital Cardiac Arrest

9/29/2023 ThucAn Bui, DO , Evan McMurray, MD

This Critical Care Alert examines a study of targeted mild hypercapnia versus normocapnia for patients who achieved ROSC after out-of-hospital cardiac arrest.

Critical Care Alert , Critical Care , Neurology

Critical Care Alert: Tranexamic Acid for Intracerebral Hemorrhage in Patients on Non-Vitamin K Antagonist Oral Anticoagulants (TICH-NOAC)

9/10/2023 Cassidy Cunningham, DO , Evan McMurray, MD

In this underpowered RCT, no evidence was found that TXA limits HE nor that it improves clinical outcomes by 90 days in NOAC-associated ICH. That being said, there were no major safety concerns noted

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