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Mean Arterial Pressure (MAP)

Mean Arterial Pressure (MAP) is calculated as: 1/3 Systolic Blood Pressure (SBP) + 2/3 Diastolic Blood…

Concussion Q&A

The following is a point-of-care summary of the September, 2019 Emergency Medicine Practice journal issue titled Concussion in the…

Canadian Head CT Rule

The Canadian Head CT Rule was originally published in 20011 and validated in 20052. There have…

TPA and Intracranial Hemorrhage Q&A

In November 2017, the American Heart Association / American Stroke Association released a scientific statement on…

Hypertensive Emergency

A summary of the hypertensive emergency treatment guidelines from: 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection,…

ICH and BP management

Spontaneous (non-traumatic) Subarachnoid Hemorrhage (SAH): Goal SBP < 140-160 mmHg Medication options: Labetalol IV 10mg boluses Nicardipine infusion…

PECARN Pediatric Head CT Rule

The PECARN head injury rule was derived in a population of patients younger than 18 years…

Glascow Coma Scale – Pediatric (pGCS)

For use in children age <2. If Child over 2 years old, standard GCS has been shown…

Glascow Coma Scale (GCS)

 Eyes 4pt – Open spontaneously 3pt – Open to voice 2pt – Open to pain 1pt…

Antiplatelet Therapy and Intra-cranial Hemorrhage (ICH)

Treatment: Spontaneous ICH (intra-parenchymal) Studies suggest platelets may increase poor outcomes. (PATCH trial, etc) Note: trials…