In the evaluation of SAH in the ED, does everyone with a negative head CT require subsequent LP?
On 1/29/14!, we’ll review Perry’s study in BMJ on CT performed within 6 hours of headache onset.
Practice-changing? Peruse and decide.
Enjoy! and please post your thoughts, comments and questions below.
http://www.bmj.com.newproxy.downstate.edu/content/343/bmj.d4277?view=long&pmid=21768192
If your downstate library access is limited, here’s the citation.
Perry JJ , Stiell IG , Sivilotti ML , et al. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study . BMJ . 2011;343:d4277
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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jfreedman
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