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Specialty: Emergency Medicine
Condition: Hemorrhagic Stroke

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Total 233 results found since Jan 2013.

Heparin Infusion through a Central Line Misplaced in the Carotid Artery Leading to Hemorrhagic Stroke
A 61-year-old man with a history of coronary artery disease, congestive heart failure, hypertension and diabetes mellitus presented to the Emergency Department in acute respiratory distress that required respiratory support and ventilation. Upon initial presentation, the patient was in severe hemodynamic distress with a systolic blood pressure of 62 mm Hg. The combination of elevated troponin of 8.19 ng/mL (N 
Source: The Journal of Emergency Medicine - July 12, 2013 Category: Emergency Medicine Authors: Rami N. Khouzam, Mohamad K. Soufi, Mark Weatherly Tags: Letters to the Editor Source Type: research

S100B protein in children with carbon monoxide poisoning
S100B has been shown to increase in patients with cardiac arrest, stroke, subarachnoid hemorrhage, and traumatic and hypoxic brain damage . In contrast to adult studies, we found that serum S100B protein levels did not increase in pediatric patients with carbon monoxide (CO) poisoning . Patients with a positive history of CO exposure and elevated blood carboxyhemoglobin (>10%) levels associated with relevant clinical findings were diagnosed with CO poisoning. The most common complaints were headache (n = 27), dizziness (n = 27), nausea and vomiting (n = 28), syncope (n = 7), and convulsion (n = 2). In addition, we also cla...
Source: The American Journal of Emergency Medicine - August 12, 2013 Category: Emergency Medicine Authors: Ahmet Zulfikar Akelma, Aydin Celik,, Osman Ozdemir, Fatma Kavak Akelma Tags: Correspondence Source Type: research

Heart rate and systolic blood pressure in patients with minor to moderate, non-haemorrhagic injury versus normal controls
Discussion Median HR remained approximately 10 bpm higher in the TARN (injury) set compared to the HSE (non-injury, control) set, irrespective of age. Understanding that HR reacts in this way for mild to moderately injured patients is important as it will affect clinical interpretation during the initial assessment.
Source: Emergency Medicine Journal - October 18, 2013 Category: Emergency Medicine Authors: Bruijns, S. R., Guly, H. R., Bouamra, O., Lecky, F., Wallis, L. A. Tags: Pain (neurology), Stroke, Hypertension Original article Source Type: research

Severe Subarachnoid Hemorrhage Associated with Cerebral Venous Thrombosis in Early Pregnancy: A Case Report
Conclusions: A rare case of severe SAH due to CVT is reported, with emphasis on the potential pitfalls of CVT diagnosis in early pregnancy.
Source: The Journal of Emergency Medicine - September 26, 2013 Category: Emergency Medicine Authors: Junkoh Yamamoto, Shingo Kakeda, Mayu Takahashi, Masaru Idei, Yoshiteru Nakano, Yoshiteru Soejima, Takeshi Saito, Daisuke Akiba, Eiji Shibata, Yukunori Korogi, Shigeru Nishizawa Tags: Clinical Communications: OB/GYN Source Type: research

The Utility of S100 B Protein in the Differential Diagnosis of Vertigo in the Emergency Department
This study was conducted to evaluate the value of S100B levels for safely discriminating vertigo etiologies to support neuroimaging decisions in EDs.
Source: The Journal of Emergency Medicine - January 23, 2014 Category: Emergency Medicine Authors: A. Kartal, S. Yilmaz, M. Pekdemir, E. Yaka, H.T. Sarisoy, M. Baki Cekmen Source Type: research

Higher mortality rates among the elderly with mild traumatic brain injury: a nationwide cohort study
Conclusions: Mild traumatic brain injury is an independent significant risk factor for death in the elderly.
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - January 28, 2014 Category: Emergency Medicine Authors: Po-Liang ChengHsin-Yi LinYi-Kung LeeChen-Yang HsuChing-Chih LeeYung-Cheng Su Source Type: research

In Patients With Acute Ischemic Stroke, Do Different Thrombolytic Doses, Agents, or Routes of Administration Lead to Different Outcomes?
Study data are inadequate. No one thrombolytic agent, dose, or route of administration has been shown to be superior. Limited data show that higher doses may lead to more intracranial hemorrhage.
Source: Annals of Emergency Medicine - November 6, 2013 Category: Emergency Medicine Authors: Adaira Landry, Mark Foran, Alex Koyfman Tags: Neurology Source Type: research

Management of Dabigatran-associated Intracerebral and Intraventricular Hemorrhage: A Case Report
Conclusion: Due to lack of an available antidote, activated prothrombin complex concentrate was utilized as a nonspecific procoagulant to stabilize an intracerebral hemorrhage in a patient on dabigatran.
Source: The Journal of Emergency Medicine - February 10, 2014 Category: Emergency Medicine Authors: Andrew C. Faust, Evan J. Peterson Tags: Pharmacology in Emergency Medicine Source Type: research

Hypoxia, haemorrhage and hypotension: the interface between emergency medicine and intensive care medicine
This subjective review is based on a presentation made at the College of Emergency Medicine Scientific Conference in September 2013. My theme was that there are certain features of the critically ill which cause understandable anxiety, namely hypoxia, haemorrhage and hypotension. So, I have selected papers relevant to the management of these frightening situations.
Source: Emergency Medicine Journal - May 16, 2014 Category: Emergency Medicine Authors: Foex, B. A. Tags: Editor's choice, Stroke, Adult intensive care Review Source Type: research

Diagnostic Value of S100B Protein in the Differential Diagnosis of Acute Vertigo in the Emergency Department / El Valor Diagnóstico de la Proteína S100B en el Diagnóstico Diferencial del Vértigo Agudo en el Servicio de Urgencias
ConclusionsTo the best of our knowledge this is the first study assessing the utility of serum S100B levels for diagnosis of acute‐onset vertigo. Serum S100B levels are associated with the presence of central causes of vertigo on cranial MRI. However, serum S100B levels are not sufficiently sensitive to exclude candidates from cranial MRI. Resumen ObjetivosEl vértigo es un motivo de consulta frecuente y es consecuencia de una etiología central o periférica. Debido a que las causas centrales pueden ser de riesgo vital, la determinación de la naturaleza del vértigo es crucial en el servicio de urgencias (SU). Con un ...
Source: Academic Emergency Medicine - August 13, 2014 Category: Emergency Medicine Authors: Aslı Gülfer Kartal, Serkan Yılmaz, Elif Yaka, Murat Pekdemir, Hasan Tahsin Sarısoy, Mustafa Baki Çekmen, Melih Yüksel Tags: Original Contribution Source Type: research

A pain in the neck
A 41-year-old woman presented to the emergency department after developing severe neck pain while unloading groceries. The pain began at the base of her neck, radiated to the vertex of the skull, reached maximum intensity within 2–3 min, and was aggravated by head movement. Neurological examination was normal. Head CT showed focal hyperattenuation immediately anterior to the midbrain (figure 1) and angiogram showed no evidence of aneurysm (see online supplementary figure 1). Diagnosis: Perimesencephalic nonaneurysmal subarachnoid haemorrhage (PN-SAH). Originally described in 1985,1 PN-SAH has been reported in pa...
Source: Emergency Medicine Journal - October 17, 2014 Category: Emergency Medicine Authors: Lindor, R. A., Homme, J. L. Tags: Headache (including migraine), Pain (neurology), Stroke, Ethics Images in emergency medicine Source Type: research

Approach to the diagnosis and treatment of acute subarachnoid hemorrhage in a patient with sickle cell disease
We report a case of subarachnoid hemorrhage in a 38-year-old patient with sickle cell anemia. This case highlights the limitations of noncontrast computed tomography in the diagnosis of subarachnoid hemorrhage in patients with sickle cell disease as well as the special needs of this patient population in addressing the treatment of stroke.
Source: The American Journal of Emergency Medicine - August 29, 2014 Category: Emergency Medicine Authors: Matthew Lyon, Justin Jeter, Richard Lottenberg Tags: Case Report Source Type: research

Acute psychosis presenting as a sole manifestation of left atrial myxoma: a new paradigm
Atrial myxomas are the most common benign cardiac tumors. Neurological manifestations associated with left atrial myxoma are seen infrequently in the form of embolic stroke of intracranial hemorrhage. Psychiatric manifestations are however exceedingly rare. We hereby present a case who presented with acute psychosis as a sole manifestation of an underlying left atrial myxoma.
Source: The American Journal of Emergency Medicine - May 12, 2014 Category: Emergency Medicine Authors: Rajendra Singh Jain, Kadam Nagpal, Rahul Jain, Swayam Prakash, Rahul Handa Tags: Case Report Source Type: research

Computed Tomography Abnormalities and Epidemiology of Adult Patients Presenting With First Seizure to the Emergency Department in Qatar / Epidemiología y Alteraciones en la Tomografía Computarizada de los Pacientes Adultos Atendidos por una Primera Crisis Epiléptica en un Servicio de Urgencias en Qatar.
ConclusionsAdults who presented with first seizure to the ED in Qatar had a young male predominance, and a high proportion of brain CT scans were reported as abnormal. It is recommended that all such patients in this population should undergo prompt CT scanning in the ED, but the utility of routine electrolyte tests requires further investigation. Resumen ObjetivosExisten poco datos de la región del Medio Este del mundo en pacientes atendidos con una primera crisis epiléptica. Los objetivos de este estudio fueron describir las características epidemiológicas de los pacientes atendidos en el servicio de urgencias (SU) ...
Source: Academic Emergency Medicine - November 6, 2014 Category: Emergency Medicine Authors: Sameer A. Pathan, Salem Abosalah, Sana Nadeem, Amjad Ali, Asma A. Hameed, Mandar Marathe, Peter A. Cameron Tags: Original Contribution Source Type: research