WEST Algorithm – How to Clear a C-Spine
Does My Patient Have Increased ICP? Accuracy of Exam and CT
Is MRI Needed for Pediatric C-Spine Clearance?
Acute Headache – ACEP Policy Statment
This ACEP clinical policy presents evidence-based recommendations on the management of patients presenting to the ED with acute headache.
Cerebellar Bleed – Does Neurosurgery Help?
Surgical decompression of a cerebellar intracerebral hemorrhage may improve survival, but it does not seem to improve survival with favorable neurological outcome.
Cauda Equina – How to Not Miss It
Cauda equina is a disabling, potentially reversible, time-sensitive diagnosis. Here are pearls to keep you from missing it.
CRASH 3 – TXA for TBI
TXA appears to have a slight 28-day mortality benefit in traumatic brain injury (TBI) patients with a GCS ≥9, especially when given early.
MRI vs CT for TBI in Children
Fast MRI appears to be a feasible and reasonably accurate means of imaging some children with traumatic brain injury.
Long Spine Board – Is Less More?
After a national EMS statement deemphasized use of the long spine board for spinal motion restriction, there was no associated increased risk of spinal cord injury.
Thunderclap Headache
Thunderclap headache (TCH) is a concerning symptom and requires diagnostic evaluation. Initial head CT w/o contrast can help detect SAH with negative LR of 0.01 if performed within 6h of headache onset. However, a head CT w/o contrast can miss other causes of TCH and may require advanced imaging and LP.