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Neurology Emergencies

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2 papers 0 to 25 followers
https://www.readbyqxmd.com/read/27654000/guidelines-for-the-management-of-severe-traumatic-brain-injury-fourth-edition
#1
Nancy Carney, Annette M Totten, Cindy O'Reilly, Jamie S Ullman, Gregory W J Hawryluk, Michael J Bell, Susan L Bratton, Randall Chesnut, Odette A Harris, Niranjan Kissoon, Andres M Rubiano, Lori Shutter, Robert C Tasker, Monica S Vavilala, Jack Wilberger, David W Wright, Jamshid Ghajar
The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendations be used by others to develop treatment protocols, which necessarily need to incorporate consensus and clinical judgment in areas where current evidence is lacking or insufficient. We think it is important to have evidence-based recommendations to clarify what aspects of practice currently can and cannot be supported by evidence, to encourage use of evidence-based treatments that exist, and to encourage creativity in treatment and research in areas where evidence does not exist...
January 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/24065011/clinical-decision-rules-to-rule-out-subarachnoid-hemorrhage-for-acute-headache
#2
MULTICENTER STUDY
Jeffrey J Perry, Ian G Stiell, Marco L A Sivilotti, Michael J Bullard, Corinne M Hohl, Jane Sutherland, Marcel Émond, Andrew Worster, Jacques S Lee, Duncan Mackey, Merril Pauls, Howard Lesiuk, Cheryl Symington, George A Wells
IMPORTANCE: Three clinical decision rules were previously derived to identify patients with headache requiring investigations to rule out subarachnoid hemorrhage. OBJECTIVE: To assess the accuracy, reliability, acceptability, and potential refinement (ie, to improve sensitivity or specificity) of these rules in a new cohort of patients with headache. DESIGN, SETTING, AND PATIENTS: Multicenter cohort study conducted at 10 university-affiliated Canadian tertiary care emergency departments from April 2006 to July 2010...
September 25, 2013: JAMA: the Journal of the American Medical Association
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